HomeMy WebLinkAbout0098982-Building (windows)OSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
No 0098982
901 HARNEY AVE Owner VICKI M MOEN Create Date 12/09/2002
141 - Exterior Remodeling
Contractor LEAD-SAFE SERVICES INC
Building O Sign O Canopy O Fence O Raze
Plan
Zoning Class of Const:
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft.
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories
Garage 0 Sq. Ft. 'Baths 0
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
Size
[] Projection
Canopies
Signs
Use/Nature SFPJ Replacing 16 windows and basement and 2nd floor handrails. No structural work.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
Plumbing Contractor
$7,205.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided
$55.00 Park Dedication $0.00
Date 12/09/2002 Final/O.P. 00/00/0000
In the performance.p~f this work,I, agree to perform all work pursuant to rules governing the described construction.
Signature ~~/I~ //d~/Cc.4,~i/ Date
Agent/Owner
Address 761 HARVARD DR NEENAH WI 54956 - 3513 . Telephone Number 850-5043
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
Building Permit Application oN THE W^TER
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 ~
Jou A Dm ss /
CONTRACTOR
I am the: [] Owner OR [] Contractor
USE CATEGORY
I~SingleFamily ["lDuplex []Multi-Family []Rental •Commercial [2Industrial
Work being done: [] Addition
[] External Remodeling
[] Handicap Ramp
[] Sign/Canopy/Awning
[] Swimming Pool
.q2 Other
t~
[] 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 ofwork being done: /~, a);v~o~;j; ,
Value of the job $
applicants.)
Any work not included in this application is not permitted.
~7~ 2-C>.~ (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: Jo
(Please print)
Date:
3/O2