HomeMy WebLinkAbout0106543-Building (roof) CITY OF OSHKOSH No 106543
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD / �Jc°
ON THE WATER :� A, �.
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Job Address 432 W 7TH AVE Owner BAYLAKE BANK Create Date 02/2� 004
Designer Contractor OWNER
Category 141 -Exterior Remodeling Plan
Type � Building _ � Sign _ � Canopy � Fence � Raze �
Zoning Class of Const: Size
Unfinished/Basement 0 Sq.Ft. Rooms 0 Height 0 Ft. ❑ Projection
Finished/Living 0 Sq.Ft. Bedrooms 0 Stories Canopies 0
Garage 0 Sq.Ft. Baths 0 Signs 0
Foundation � Poured Concrete � Floating Slab Q Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature F�roofing the house(complete tear of�,installing 6 replacement windows(same size and location),installing new flooring,painting
of Work 4he interior of the house,and installing additional fiberglass insulation in the attic area.
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuati n $6,000.00 Plan Approval $0.00 Permit Fee Paid $50.00 Park Dedication $0.00
Issued By:� Date 02/23/2004 Final/O.P. 00/00/0000
� Permit Voided� Parcel Id#0905630000
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 Ciry strongly urges the permit applicant to contact the easement
holder(s)and to ecure ec sary ap val before starting such activity.
Signature Da ��2 3�� �
AgenUOwner
Address PO BOX 9 STURGEON BAY WI 54235 - 0009 Telephone Number 920-743-5551
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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City of Oshkosh
Inspection Services Division �
P O Box 1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 O.IHKOlH
Buiiding Permit Application ON THE WATER
If vou are a contractor participatin� in the Permit Fee Account Svstem and have adeguate funds, check here
if vou want this processed through your account (�
JOB ADDRESS � � � w / V ,( �J � � O S � I�d S I1 W q-
OWNER / N
CONTRACTOR J Q � f �e
I am the: �Owner OR ❑ Contractor
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
❑Addition ❑Deck/Porch/Patio ❑Driveway/Parking
�xternal Remodeling ❑Fence/Hedge/Kennel ❑Garage/LJtility Structure
❑Handicap Ramp ❑Hot Tub/Spa �Intemal Remodeling
❑Sign/Canopy/Awning ❑Stair/Handrail ❑Stove/Fireplace
�Swimming Pool ❑Wrecking Permit
❑Other �obT i N
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note�,}'any ad itional information is n cessa�yr .�u �
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❖ Full description of work being done: ' �� �J (,� �,�.v p1i cU�$ 1�'���-�, 4
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Any work not included in this auplication is not qermitted.
Value of the job $ n 1/ � (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.) �� �d21 /'��j 0 � G�1�-vn'�v'C.[�
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PLEASE READ, SIGN, & DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Name: /�l� C � ��C� �� �� r
(Please print)
Signature: �{�
Date: vl � 02 3 0�
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