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OSHKOSH
ON THE WATER
Job Address 915 N SAWYER ST
CITY OF OSHKOSH No 122896
BUILDING PERMIT - APPLICATION AND RECORD
Owner DANIEL W/MICHELLE L JERABEK Create Date 12/14/2006
Contractor VEARD HOME IMPROVEMENTS
Designer
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement
Sq.Ft.
Sq.Ft.
Sq.Ft.
Rooms
Height Ft.
D Projection I
Finished/Living
Bedrooms
Stories
Canopies
Garage
Baths
Signs
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit
Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature SFRllnstall11 vinyl replacement windows in existing openings.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $5,200.00 Plan Approval
Issued By: O~
$0.00 Permit Fee Paid
$60.00 Park Dedication
$0.00
Final/O.P. 00/00/0000
Date 12/14/2006
D Permit Voided I
Parcel Id # 1602950000
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 s any necessary approvals befo e starting such activity.
Date 12 -( Lf c dt,o
Signature
Address 1828 OREGON ST
Agent/Owner
OSHKOSH
WI 54902 - 0000 Telephone Number 920-410-4853
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
Building Permit Application 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 throuf!h your account n
~
OfHKOfH
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
'" Phone: (920) 236-5050
Fax: (920) 236-5084
JOB ADDRESS Cj ( 5 to 5 fNJ y c= t:..
OWNER :r A--(L,4 B L r<C...
CONTRACTOR V E It-Il- j) rrt7i1tt E- +Y1-1 yPt?.OV IE YJ.t eMf
I am the:
DOwner
OR p(,Contractor
USE CATEGORY
~ngle Family DDuplex DMulti-Family o Rental o Commercial DIndustrial
Work being done:
o Addition
o External Remodeling
o Handicap Ramp
o Sign/Canopy/Awning
o Deck/Porch/Patio
o DrivewaylParking
o Garage/Utility Structure
o Internal Remodeling
o FencelHedge/Kennel
o Hot Tub/Spa
o StairlHandrail
o StovelFireplace
i
r\
o Swimming Pool 0 Wrecking Permit
fPther V"" f (.. ",,, ""'-If' ~-r ~ (" .....J IhJ fi
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 dt9 tl. '" 1 { V'" f I AU' ",..... h + I tv"". 2$ "*'!.&+v'"~ 1
L:.-h (;. "'SC? _
h
Anv work not included in this application is not permitted. \ ' 0\ . \}fl r ~qf..R
Value of the job $ r;-z,CJ 0 ~ (Value for materials and labor is required to ensure consistency in accessing permit fees for all l ~ ~
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: J&i k"" V-e&..y J.
Sigm~~ \td~
Date: /2 .-- t1 - Oft:,
3/02