HomeMy WebLinkAbout0102488-Building (windows)OSHKOSH
ON THE WATER
Job Address 655 MOUNT VERNON ST
Designer
Category 14'1 - Exterior Remodeling
Type · Building
Zoning
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner KATHLEEN L SHAW
Contractor WASCO
C~)sign C) Canopy (~ Fence C) Raze
Class of Const:
No 0102488
Create Date 06/27/2003
Plan
Size
Garage
Foundation
Unfinished/Basement 0 Sq. Ft.
Finished/Living 0 Sq. Ft.
0 Sq. Ft,
· Poured Concrete (~) Floating Slab
(~) Concrete Block (~) Post
Occupancy Permit Not Required
Park Dedication
Use/Nature
of Work
Rooms 0 Height 0 Ft.
Bedrooms 0 Stories
Baths 0
(~ Pier (~ Other
(~ Treated Wood
Flood Plain Height Permit
# Dwelling Units 0 # Structures
[] Projection
Canopies
Signs
0
SFPJ Install 8, double hung, window replacements (same size and location). *NO STRUCTURAL WORK.
0
0
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$3,010.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit VoidedI
$35.00 Park Dedication $0.00
Date 06/27/2003 Final/O.P. 00/00/0000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 2546AMERICAN DRIVE APPLETON WI 54915 - 0000 Telephone Number 730-0099
City of Oshkosh
Inspection Services Division
POBox I130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Of HKO/H
Building Permit Application
If you are a contractor participatin~ in the Permit Fee /lccount ~¥stem and have adequate funds, check here
~f VOU want this processed through your account
JOB ADDRESS
OWNER
655 Mt. vernon St.
Kathy Shaw
CONTRACTOR WASCO
I am the: [] Owner OR [] Contractor
USE CATEGORY
5g[Single Family r-IDuplex
Work being done:
[] Addition
[] External Remodeling
[] Handicap Ramp
[2 Sign/Canopy/Awning
[2 Swimming Pool
F1Multi-Family E]Rental
[] Deck/Porch/Patio
[] Fence/Hedge/Kennel
f2 Hot Tub/Spa
[] Stair/Handrail
[] Wrecking Permit
EICommercial Ellndustrial
U Driveway/Parking
[] Garage/Utility Structure
[] Internal Remodeling
D Stove/Fireplace
i~ Other Window Replacements
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
¢' Full descriptionofworkbeingdone: 8 Double Hund Windows to be installed
in the existing openings. . .
Any work not included in this application is not permitted.
V alu e of the j ob $ .~, 01 0.0 0 (value for materiak and labor is required to ensure consistency in accessing perra/t fees for all
applicants.)
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.
RECEIVED
JUN 2 6 2003
DEPART[vIENT OF
CO %' UN[TY DEVELOPMENT
Name: WASCO-David Paulus, Pres.
(Plea$e print)
Signature: ~9a.4,,.6~ .~~,.L/L/~. 4
Date: ~- ~ 5-- O~
3/02