HomeMy WebLinkAbout0098985-Building (doors)OSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
1126 1128 ELMWOOD AVE Owner WILLIAM CHINTZ
Contractor OWNER
141 - Exterior Remodeling
· Building O Sign O Canopy (~ Fence O Raze
No 0098985
Create Date 12/09/2002
Plan
Zoning
Unfinished/Basement
Finished/Living
Garage
Foundation
Occupancy Permit
Park Dedication
Class of Const:
0 Sq. Ft. Rooms 0 Height
0 Sq. Ft. Bedrooms 0 Stories
0 Sq. Ft, Baths 0
· Poured Concrete O Floating Slab O Pier O Other
C) Concrete Block C) Post C) Treated Wood
Not Required Flood Plain __
# Dwelling Units 0
0 Ft.
Height Permit
# Structures
Size
[] Projection
Canopies
Signs
Use/Nature 3UPLEX/Replace 2 entry doom on the house (same size & location). *NO STRUCTRURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ,~,.~
Plumbing Contractor
$400.00 Plan Approval
$0.00 Permit Fee Paid
$20.00 Park Dedication $0.00
Date 12/09/2002 Final/O.P. 00/00/0000
[] Permit Voided
In the perfqrmaDce of this wo~r,k I agree to perform all work pursuant to rules governing the described construction.
Signature~/ ~' ,~_~_~,~d~_ ~'..%~/~ Date
Address 2005 HAZEL ST OSHKOSH WI 54901 - 2446 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 THE 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 ['~
CONTRACTOR
I am the:
JOB ADDRESS ~"
Owner OR [] Contractor
USE CATEGORY
•Single Family ,~t/Duplex
Work being done: [] Addition
XExternal Remodeling
[] Handicap Ramp
[] Sign/Canopy/Awning
[] Swimming Pool
3 Other
[]Multi-Family
•Rental •Commercial []Industrial
[] Deck/Porch/Patio
[] Fence/Hedge/Kennel
[] Hot Tub/Spa
[] 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: ~F ?J.41C..~??£~' ~p"-- ~ 2:~t~l~R,/ ff)cvO_~...f
Value of the job $
applicants.)
Any work not included in this application is not permitted.
7/~ -F' (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.
Name: ~?'////~/r/ /ye//A/7~
(Please print)
3/02