HomeMy WebLinkAbout0158330-Building (windows) � CITY OF OSHKOSH No 158330
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2450 KINGSTON PL _ _ Owner MARK A/CONSTANCE A HYLER Create Date 10/18/2013
Designer Contractor THD AT-HOME SERVICES INC
Inspector Nicole Krahn
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection ',
Finished/Living _ Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood -- _ — _ _
Occupancy Permit Not Required Occupancy Fee _ $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/REPLACE(5)WINDOWS(NO SIZE CHANGE)-NO STRUCTURAL CHANGES **check#5745 !
of Work
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HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation _ $2,986.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By:��� Date 10/18l2013 Final/O.P. 00/00l0000
❑ Permit Voided ' Parcel Id# 1313500000
�n 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 3200 COBB GALLERIA PKWY STE 200 ATLANTA __ GA 30339 - 0000 Telephone Number 630-832-4049
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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.
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P O BOx 1130
� Cit,of Os�kosh Oshkosh,WI 54903-1 1 30
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application �•�i.oshkosh.W;.�s
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Applicant Owner ontractor Tenant Other(describe)
Owner/ Name C(�I'1 V1 i� !7�/ � Phone q ZQ — 27�1—7r177
Tenant
Address �� �n ,S{�► � Email
Contractor Company Name��-}� �� SQ�U��.Q_. Phone �`f
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Contact Emai 1
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State Gedential#'s �Q(��G �� , �S���o 9 ,
Dwelling Contractor Qualifier# Dwelling Contractor# Buil ion#
Achitect/ Company Name Phone
Designer 0 C T 1 S Z013
Contact Email
DEN�FiT11E:�T OF
Addre �� h
Permit Type ' 1 Fa ' Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
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 + v�
$ ���9c (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above information is complete anci accurate. Any deviations from the above submitted information may require additional permits
to be obtained. 1 ackrrow edge and agree to these terms.
Name: � ��f �¢����— (Please print) Date: ��,�/�"% 3
Signature: