HomeMy WebLinkAbout0099065-BuildingOSHKOSH
ON THE WATER
,Job Address 540 JEFFERSON ST
Designer
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner BON B/MELANIE A KEOMANY
Contractor OWNER
Category 140 - Interior Remodeling
Type O Building (~ Sign (~ Canopy O Fence O Raze
No 0099065
Create Date 12/12/2002
Plan
Zoning
Unfinished/Basement
Finished/Living
Garage
Foundation
Occupancy Permit
Park Dedication
Class of Const: 8
0 Sq. Ft. Rooms 0
0 Sq. Ft. Bedrooms 0
0 Sq, Ft. Baths 0
Poured Concrete O Floating Slab (~ Pier
Concrete Block (~ Post (~ Treated Wood
Not Required Flood Plain No
Not Required # Dwelling Units 0
Height
Stories
Other
0 Ft.
Size
~ Projection[
Canopies 0
Signs 0
Height Permit Not Required
# Structures 0
Use/Nature
of Work
4 UNIT / AFTER THE FACT PERMIT - Replace one window, remodel bathroom within Unit #2, install new listed and labled fire rated
doors and frames at the entrance to each unit, and install code compliant gaurdrails 2 in the front, and one in the back. ALL WORK IS
REQUIRED TO BE INSPECTED PRIOR TO CONCEALMENT - This permit does not include any Electrical Or Plumbing work, or any work
not described above. Additional permits are required for restoration of required fire separation within the structure
HVAC Contractor
Plumbing Contractor UNKNOWN
Electric Contractor UNKNOWN????
Fees: Valuation /~Z/5,000.00
Issued By: ~;~
Plan Approval $0.00 Permit Fee Paid
[] Permit Voided
$140.00 Park Dedication $0.00
Date 12/12/2002 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
Address 232 A W 8TH AVE
Agent/Owner
OSHKOSH
WI 54902 - 5926 Telephone Number
City of Oshkosh
Inspection Services Division
P OBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Building Permit Application O/'HKO/'Ho.
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
(f ¥ou want this processed through gout account ~]
JOB ADDRESS
OWNER )% ~
CONTRACTOR
I am the: [~,,Owner OR [] Contractor
USE CATEGORY
[]Single Family []Duplex I!~Vlulti-Family ElRental []Commercial I"llndustrial
Work
being done:
[] Addition
t~Extemal Remodeling
[] Handicap Ramp
[] Sign/Canopy/Awning
[] Swimming Pool
[] Other
[] Deck/Porch/Patio
[] Fence/Hedge/Kennel
[] Hot Tub/Spa
~l~,Stair/Handrail
[] Wrecking Permit
[] Driveway/Parking
[] Garage/Utility Structure
t~Intemal 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: ~e__~[o_c_~ ~_~___ ~-~ ,-,,~_.~,.a ~e~ ~~~
Value of the job $ ~tt
applicants.)
Any work not included in this application is not permitted
(~ ~ (-~ (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:
Signature~
Date: ,?.,~ -/.2.- ~ 2--
3/02