HomeMy WebLinkAbout0158212-Building (windows) �
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� CITY OF OSHKOSH No �5s2�2
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OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD 3
ON THE WATER
Job Address 664 N MAIN ST Owner MARLA J TONN Create Date 10/11/2013
Designer Contractor FFD NATIONAL LLC
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze
Zoning C-3 Class of Const: Size
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Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete 0 Floating Slab � Pier � Other
� Concrete Block 0 Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Fiood Plain Height Permit
Park Dedication #Dweliing Units 0 #Structures 0
Use/Nature SFR/replace(3)windows in existing openings �
of Work �
I"ck#115826'*
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,047.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: �V1/�- Date 10/11/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#0402290000
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.
' ' ' POBox I1�0
n l.,ll,y �f OSI L�OSI L Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
��3�,p3 Building Permit Application �W���.oshkosh.wi.us ,:
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Project / /_ // � `A�� �
Address (0 �O`* /�(
Applicant Owner �ontractor Tenant Other(describe)
Owner/ Name DY1 Phone � " a3�-9 �9a
Tenant /
Address 1�10�1' Iv , ' `��'1 �. l,/�1K��1 , � lD�Email �
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Contractor Company Name � aL � Phone �' t�t�"�`Tg0
Contact j�i �„�,(�v{�J� Email Q.Yt �t'1� 'T Y�G�(o.�0
Address �I ' �'i �UtUW.1.0 l�i�c-. �I/I.IL � . 5�-
State Credential#'s !�3��J�o�. /�����0 6 Y
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D��elling Contractor Qualifier# � Dwelling Contractor# Building Contractor Registration# s
Achitect/ Company Na Phone �
Designer
Contact Email
Address f
Permit Type esidential Single Famil Residential Duplex Commercial Multifamily lndustrial
Catagory New Addition Alteration �Q�o��-t--
Project
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �t.�1,(,�
$ (Value for materials&labor is req.to ensure consistency in accessing permit tees Y'or all app(icants.)
Payment by: Check # Cash Permit Fee Account
T certijv the above information rs complete and accurate. ,9nv deviations from the above submitted information may regt�ire additiona!perntits
to b btained. 1 ac�,p w�ledge and agree to these terms.
Name: ��i /7�Ll.111�2-�' �'�% (Pleaseprint) Date: �d � �'�-3
Signature: