HomeMy WebLinkAbout0098778 BCITY OF OSHKOSH
HKOSH
ON THE WATER
Job Address 1211 OTTER AVE
Designer
Category 141 - Exterior Remodeling
BUILDING PERMIT - APPLICATION AND RECORD
Owner L & S L cApTAiN pROpERTIEs L '
Building ' (~) Sign
Canopy (~' Fence-' (~ Raze
No 0098778
Create Date 11/22/2002
1Elan
Finished/Living
Garage
Foundation
0 Sq. Ft.
0 Sq. Ft.
~t Poured Concrete (~) Floating Slab
Concrete Block (~) Post-'
Occupancy" Permit
Park DedicatiOn
Rooms 0
Bedrooms 0
Baths 0
C) Pier
O Treated Wood
Flood Plain
# Dwelling Units
Height 0 Ft.
Stories
O' 'O~her
Height Permit
0 #'Structures
Size'
[] Projection
Canopies
Signs
0
0
SFPJ Replace an exterior door and the front upper Window. No structural work.
of Work
HVAC COntractor
Electric contractor
Fees: Valuation '$575.00 Plan Approval
............... p~l~mbi~ng Contractor
$0,00 Permit Fee Paid
$0,00
Issued By:
Date 11/22/2002 Final/O.P. 00/00/0000
[] Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
(?/) ..... y - Agent/Owner
Address '"'1340 MARICOPA DR OSHKOSH WI 54904 - 8151 Telephone Number
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Building Permit Application
O/HKO/H
ON TH~ WATER
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ~']
JOB Am)m~ss ~ ~ / \ 0"'7- 7-~-~'-P-..
ow~Ea C"_~ 1>7;4/x/
CONTRACTOR
I am the:
USE CATEGORY
I-ISingle Family [3Duplex
Work being done: [] Addition
[] External Remodeling
[] Handicap Ramp
[] Sign/Canopy/Awning
£ Swimming Pool
[] Other
..15POwner OR
[3Multi-Family
[] Contractor
[3Rental EICommercial [3Industrial
[] Deck/Porch/Patio
[] Fence/Hedge/Kennel
2 Hot Tub/Spa
q Stair/Handrail
[] Wrecking Permit
[] Driveway/Parking
[] Garage/Utility Structure
[] Internal Remodeling
[] Stove/Fireplace
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 description of work being done: t~_P~c~.. 1. ~_x4-~¥-~'c~c, ,~ex>r- -/--
Value of the job $
applicants.)
Any work not included in this application is not permitted.
.5'"~7..~ (Value for materials and labor is required to ensure consistency in accessing permit fees for all
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.
Salne:
Signature:
Date:
(Please print)
3/02