HomeMy WebLinkAbout0098984 BOSHKOSH
ON THE WATER
,Job Address 1018 W NEW YORK AVE
Designer
Category 141 - Exterior Remodeling
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner FRANCIS M KOERWITZ
Contractor LEAD-SAFE SERVICES INC
Type 0 Building 0 Sign 0 Canopy 0 Fence 0 Raze
No 0098984
Create Date 12/09/2002
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 ~I Poured Concrete (~ Floating Slab (~ Pier (~ Other
O Concrete Block (~ Post (~ Treated Wood
Occupancy Permit Flood Plain __ Height Permit
Park Dedication # Dwelling Units 0 # Structures
Size
[] Projection/
Canopies 0
Signs 0
Use/Nature SFR/ Replacing 14 windows, no structural work; wrap casings; soffit and fascia; replace entry door and replace some plaster in kitchen.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$18,000.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided
$89.00 Park Dedication $0.00
Date 12/09/2002 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 /~. ~/~.. t~ Date
~ ' Agent/Owner
Address 761 HARVARD DR NEENAH WI 54956 - 3513 Telephone Number
,'<:. /2~?-o-L
850-5043
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 TIlE 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 vour account [~
JOB ADDRESS
OWNER
CONTRACTOR
I am the: [] Owner OR J~l Contractor
USE CATEGORY
51SingleFamily []Duplex []Multi-Family ElRental []Commercial []Industrial
Work being done: [] Addition
8. External Remodeling
[] Handicap Ramp
[] Sign/Canopy/Awning
[] Swimming Pool
[] Deck/Porch/Patio
[] Fence/Hedge/Kennel
[] Hot Tub/Spa
[] Stair/Handrail
[] Wrecking Permit
[] Driveway/Parking
[] Garage/Utility Structure
~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 necessa~.
· ~. Full deschption ofwork being done: /~ O~x/ ~,~/ co~.~
V , /
Any work not included in this application is not permitted.
Value
of
the
job
$
~ 0 oO (Value for material~ and labor is required to ensure consistency in accessing permit fees for all
/
applicants.)
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: d~,~_
(Please print)
Date:
3/02