HomeMy WebLinkAbout0157746-Building (windows) � CITY OF OSHKOSH No 157746
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1120 LAAGER LN Owner RICK C ALLEN/DEBORAH WERNER Create Date 09/16/2013
Designer Contractor FFD NATIONAL LLC
Inspector John Zarate
Category 040-Windows Plan
Type � Building 0 Sign � Canopy � Fence � Raze j
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I,
Finished/Living Sq.Ft. Bedrooms __ Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
0 Concrete Block � Post � Treated Wood —
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/install(9)replacement window in existing opening i
of Work I
;**ck#115119*"
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,792.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: �W� Date 09/16/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1310630000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address 1125 TUCKAWAY LN STE C MENASHA WI 54952 - 1776 Telephone Number (920)968-1480
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
P O Box I 1�0
� �ll.y �f OS`j�OS!L Oshkosh,WI 54903-1130
� ��' Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application �W���.oshkosh.wi.us
Project //�� �QQ �r / .
Address ��(
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name / � Phone 9ao'�o7b'���U
Tenant
Address �� L-� � U'� • Email �'
Contractor Company Name �� 0 Phone �' !ltg'��'g0
Contact (Fi �(,Oy{,1� Emai I Q,Y� �tQ.i't� ��P.��CD.CO
Address �� " �'i f G�UV,(,�.0 (�-. �S�Q. f 5�-
State Credential#'s ����QJ��. �D�D��o b
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D��elling Contractor Qualifier# � Dwelling Contractor# Building Contractor Registration# ;
Achitect/ Company Na Phone
Designer
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Contact Email
Address
` Permit Type esidential Single Famil Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration �a���-�
Project
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Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �
$ � �9a � (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
1 cei•tijv the above information is comp(ete and accurate. .9nv deviations fi•om the above submiued information mav require additiona!pe�•nvls
!o b b�ained. 1 ac wledge and agree to these terms. 7
Name: 1� �Y��� 0�/" (Please print) Date: Q��G '�J
Signature: