HomeMy WebLinkAbout0113148 B
e
OSHKOSH
ON THE WATER
Job Address 116 W 22ND AVE
CITY OF OSHKOSH
No
113148
BUILDING PERMIT - APPLICATION AND RECORD
Owner
KENNETH R/MARY LAJCAK
Create Date
03/23/2005
Designer
Contractor
SALZER SIDING
Category
141 - Exterior Remodeling
Plan
Type
18 Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
Class of Const:
VB
Size
Unfinished/Basement
0 Sq.Ft.
~ Sq. Ft.
Rooms 0 Height 0 Ft.
Bedrooms 0 Stories
Baths 0
U Projection 1
Finished/Living
Canopies
0
Garage
~ Sq. Ft.
Signs
0
Foundation
8 Poured Concrete 0 Floating Slab
0 Concrete Block 0 Post
0 Pier
0 Treated Wood
0 Other
Occupancy Permit
Not Required
Flood Plain No
Height Permit Not Required
Park Dedication
Not Required
# Dwelling Units
0
# Structures
0
SFR/ Install vinyl siding on house, wrap windows, cover overhang.
Use/Nature
of Work
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$9,000.00
Plan Approval
$0.00 Permit Fee Paid
$68.00 Park Dedication
$0.00
Issued By:
Date 03/23/2005
Final/O.P. 00/00/0000
U Permit Voided 1
Parcelld # 1400460000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address
PO BOX 825
Agent/Owner
OSHKOSH
WI 54903 - 0825 Telephone Number
(920) 231-5025
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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FROM:
Ju~ C? 02 08148a
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FAX NO. : 92058249139
Cahkoah lnspeQt~O"'
Jun. .131 213133 137:37AM Pi
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Electril: Insta11atiOD Verification
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(BlectriOil ContraclOr N&me)
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(Aci¡lm¡) (City) (S1ll.~) (Zip Code)
OIVO"oeell eom:a.cted 1(1 pll'fcnll e110triÇ imtIIllation \>!orJi: tor rStfzt::-¡¿ is. (D f tV. G
" . . . ~ ofp;¡.ny COIII.raC\4IØ 10)
at me tol!owÎn¡ addreu: /' /'6 ¿...:- 2- '2 /1d
(Add:el' where work will bo pClfœJl1C4)
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The naIWo o£thè WOJIt CCIIIfiits of: (C1IIIck OtIc Of Doaeri1:le Iha Nature ofWar,k)
- R.too1l11,ciion or bOW circuit for ¡vp18oelDlllt HeaIID¡ P18rK lDdIor AlC Coød8u88r..
- Aøoon:ìlee j;)nor new OÎ,."Cwt 1br re¡il~ Electric; Water HcIrer ~ power vc=l1kd
. WIÍtf bcteÞr. . .
- . ~OII oftheServj¡;e &tnnce Cable, Meier Box, 8lIendionSlO ~
. Ulcll!¡btln! fixtllru QIIO 10 sidill$/lOftít iuW],1ion Note: Nøw Scni;è
1utr¡Ç'Çabl" will nqwrs I "(larato ptI'mÍt .
- ~ or new cIrcu1t tor \he replaçeørnl of other p~y wired
. . app1\IDGOI/~. .
- Ntw oimút fin 1M aC!4i1ion I)f Ale to IIA /lfiividt;aJ ~Ihr& 1IlIi./ (hoWill or !be
Îtldivhlusl syste¡ns in a duplex or condominium), tncludlr-S requlroð $"."
C1eoIrioIil ollt.lcts,
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Thtval1a.o£thiI';"œk ÍI S /c;:./?/
. Äcrè\>~' vwi~ thQ wM will be pQl'fQlmed by an employee Ðt~ campa)' 8114 Ñn:IWr verily
tho reoot'I~OOtiOl1 /!natalJatioD v;ill be don, in complianoo with minllfi&cnurer a.~ :Elt:CIJÍ(: code
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(S~IIt'c! ~COll1Pany Ofncer)
Þtf(,v11 Q., ße-Lr:-kf!. .-3-4'vt?r'
.' (Print N8IIIO of Offieor) (Date)
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