HomeMy WebLinkAbout0158885-Building (window replacement) � CITY OF OSHKOSH No �sssss
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1262 ELMWOOD AVE Owner PAUL R/MELISSA ROSENQUIST Create Date 11/22/2013
Designer Contractor FFD NATIONAL LLC
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze
Zoning R-2 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 0 Floating Slab � Pier � Other
� Concrete Block � Post 0 Treated Wood --
Occupancy Permit Occupancy Fee $0.00 Flood Piain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature '�SFR/replace(1)window in existing opening — ,
of Work �
I"ck#116963"
' i
j I
I :
II II
HVAC Contractor _ _ Plumbing Contractor
Electric Contractor
Fees: Vaivation $5,000.00 Pian Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: �, Date 11/22/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id# 1204880100
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 Box1130
� l...Ll.y �f OSI l.��S!L Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fa�c:(920)236-5084
(,U 13C�B0�3L1-
Building Permit Application �W���.oshkosh.W�.�s :
Project /a/ a r/m w(�dG� �
Address �� C � '
Applicant Owner Contract Tenant Other(describe)
Owner/ Name QJ Phone 4� J �—' �
Tenant
Address /aba �lmw� /l Ye, D�IIU� �O�Email
Contractor Company Name � a� I Phone �' ��tg'l`Tg0 '
Contact �t.°i � YU Email Q.Y� riLQ-�C�i �l�i�_CD
Address �� ' �'i �G��.0 �. �S�Q. � �eZ-
State Credential#'s /i3105t. , ����T�b ,
Dwelling Contractor Qualifier# Dwelling Contractor# B ' 'stration#
Achitect/ Company Na Phone
Designer N 0 V 2 2 2013
Contact Email
� Address �eF�w��:��e:.r a�
L SP C'TI �V;-:�2V1C S DR'I i0.'V
Permit Type esidential Single Famil Residential Duplex Commercial Mu�tifami�y ln�ustr►a�
' Catagory New Addition Alteration �a�p��—
Project
Description . �
1 l cc)�r�o►�J � � 1 :
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �.) vd
$ �Jlil�f/• (Value tor materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I cer•ti.fi-�the above information is complete and accurate. Any deviations jrom the above submitted injormation may reg:�ire additional pernaits
to b btained. 1 ac/�w•ledge and agree to the�se terms.
Name: 1 fi I�.l.l�1��' /'�% (Please print) Date: /� �� �
Signature: