HomeMy WebLinkAbout0158722-Building (windows) � CITY OF OSHKOSH No 158722
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
JobAddress 118 W 24THAVE Owner DAVID B BUTLER Create Date 11/11/2013
Designer Contractor FFD NATIONAL LLC
Inspector Nicole Krahn
Category 040-Windows _ Plan
Type � Building 0 Sign � Canopy � Fence 0 Raze I
Zoning R-1 Ciass 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/INSTALL(10)SAME SIZE WINDOW REPLACEMENTS-NO STRUCTURAL CHANGES "check#116547
of Work
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— — --- - �
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,600.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: ��W Date 11/11/2013 Final/O.P. 00/00/0000
❑ Permit Voided �� Parcel Id# 1403270000
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
Agent/Owner
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.lLy �f OS/l.��S� Oshkosh,WI 54903-1130
� Phone: (920)236-5050
Fax:(920)236-5084
I,U 13('�r3b41 (. Building Permit Application wWw���.oshkosh.wi.us
Project ( I b 1 _ ' - �� ` �jQ�
Address ��V
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name J � 'r) Phone ��-T��-99 6 �
Tenant '
Address � � b � • OC� � �� . Email
Contractor CompanyName � 4� Phone � '��'����d
Contact � �IiI���C/1' Email � ,Lp
Address ( ��i�l�tL�(,bl� Xl�l �j�Z
State Credential#'s I 13 J a,�a ���o��.6 ,
D���elling Contractor Qualifier# � Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name -�� Phone
Designer
Contact Email
Address
° Permit Type Residential Single Famil Residential Duplex Commercial Multifamily Industrial '
Catagory ew Addition Alteration
Project �o �j�(� �j �,(�� � � E-r�' �
Description
RECEIVED
NOV 1 12013
CO�i�a U\ITY DE VELOPME.'YT
�1VSPECTi(3�SERViCES DI�7SIOV
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ / y� -
�(O (/� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account �
I ce��tifv the above informa�ion is con:plele and accurate. Anv deviations fi�om the above subiraitted inforirta�ion may regt�ire addilionol pernti�s
to b btained. L ac n w�ledge and agree to dhese terms.
Name: �� (Please print) Date: /D �v �C.�
Signature: