HomeMy WebLinkAbout0111757 BNo 111757
CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
JobAddress $57 JACKSON ST Owner MEHDI/DIANE L MOHAMMADIAN
Designer Contractor SERVICEMASTER CONSTRUCTION SERVICE~
Category 140 - Interior Remodeling Plan
Create Date 11/22/2004
Type 10 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
Garage 0 Sq. Ft. Baths 0 Signs
Foundation O Poured Concrete ~ Floating Slab ~ Pier ~ Other
~ Concrete Block ~ Post ~ Treated Wood
Occupancy Permit Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature
of Work
UNIT/ Repairing fire damage to include replacing floor joists and other framing as needed and gutting the affected areas.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$27,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$145.00 Park Dedication $0.00
Date 11/22/2004 Final/O.P. 00/00/0000
Parcel Id # 0500710000
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.
Signature Date
Agent/Owner
Address 220 E FERNAU AVE OSHKOSH WI 54901 - 0000 Telephone Number
920-233-6699
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.