HomeMy WebLinkAbout0158588-Building (windows) � CITY OF OSHKOSH No 158588
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 633 W 17TH AVE Owner JOHN K/CAROL MURPHY Create Date 11/04/2013
Designer Contractor FFD NATIONAL LLC
Inspector
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze
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/Installing 11 same size replacement windows
of Work �,
'Paid by check I
I
- --- -
HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $5,500.00 Plan Approval $0.00 Permit Fee Paid $72.00 Park Dedication $0.00
Issued By: Date 11/04/2013 Final/O.P. 00/00/0000
� Permit Voided', Parcei Id# 1406100100
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 1130
� �l�y �f OSII.�OSlL Oshkosh,WI 54903-1130
� Phone: (920)236-5050
Fax: (920)236-5084
W������ Building Permit Application �W���.oshkosh.wi.us
Project / �� , r , 17,� � /�
Address (Q �� � l��V
Applicant Owner Contractor ) Tenant Other(describe)
Owner/ Name 1'1 h � Phone 2�'�7�����"
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Address �- Email
Contractor Company Name � �a,'C., ) Phone 7�'7��'�`�'gU
Contact l� �WJl� Email Q.1'�qGl�� 4 rl�dLU•LOj""
Address ��0� '�i �I.tl.�tl,l)Q,y �i.� �P.116C�Lt , �iV l �9�2
State Credential#'s ��3�D s� �����6�
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D���elling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Na Phone
Designer
� Contact Email �
�.�r, Address
Permit Type Residential Single Famil Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project ( �� c.7�(.�'�lL �i ` �) al���
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �
$ ��Q� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account �
I cerlifv the above information ds eomplete and accurate. Any deviations fi�om the above submiited information may reguire additional permits
t e oblait�ed. cknowledge and agree�o these terms. �
Name: � ��V (Please print) Date: '� 3� �3
Signature: ��