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OSHKOSH
ON THE WATER
Job Address 2028 MENOMINEE DR
CITY OF OSHKOSH No 123131
BUILDING PERMIT - APPLICATION AND RECORD
Owner DUMKE ANDREW J/ ALLISON Create Date 01/05/2007
Designer
Contractor ROY DERKSEN
Category
162 - Wrecking Residential Accessory Structures Plan
Type
o Building
o Sign
o Canopy
Class of Const:
o Fence
. Raze
Zoning
Size
Unfinished/Basement
Sq.Ft.
Sq.Ft.
Rooms
Height
Ft.
o Projection I
FinishedlLiving
Bedrooms
Stories
Canopies
Garage
Sq.Ft.
Baths
Signs
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit
Park Dedication
Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Use/Nature SFRI Removing the existing garage" in order to comply with a board of appeals determination.
of Work
Plumbing Contractor
HV AC Contractor
Electric Contractor
Fees: Valuation
$500.00 Plan Approval
$0.00 Permit Fee Paid
$100.00 Park Dedication
$0.00
Issued By:
C4'1j
Date 01/09/2007
FinaIIO.P. 00/00/0000
o Permit Voided I
Parcelld # 1511880000
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,flPPli~tion with\" an ease"Tt, the City strongly urges the permit applicant to contact the easement . /
holder(s) and to secure'any.leces~ry ~pprovalshe1 re starting such activity. L
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Signature ( ! \ ,0 '. ,. , Date v" / /0 7
. AgentlOwner '1 ' I I
Address W11579 ~EMP RD BRANDON WI 53919 - 0000 Telephone Number 920-960-3907
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. l.Inless 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.
Permit N~ 000459
Date
Fee: Under 500 sq. ft. ~ e.
Over 500 sq. ft. $89
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APPLICATION fOR MOVING PERMIT
To the Board of Public Works of the City of Oshkosh:
Application is made for a permit to move a building via the following route:
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(JufcTr1fy I .
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to
The move will be made between the hours of
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unci ~ IY In
on
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This building is used as
Co rd. Q~
I
and is
;),&,I
wide
by
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long and will extend to a height of
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._IX lL above curb level.
The undersigned agrees that such move will be in accordance with Chapter 25 of the Municipal Code
of the City of Oshkosh and agrees to be primarily liable to the City and all third parties for damage
resulting from the moving of said building, to pay the fee required by the City and to furnish a surety
'company bond in such sum as may be required. It is further agreed that such building will not be parked
over night on any street of the City of Oshkosh without first having obtained from the Department of
Community Development a special permit for parking over night.
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~"('~~()A wI $"6 c::r I 9
9'20 9 '=0 ~ c)o I
Signed,
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Mover
Fee Paid .
Deposit for City Work
Bond ont=ii~1 Dflb tQBLU{v<. ~,kDtJL iJ4101~
Building Permit No.
Date Issued
Permit Expires
~SI"""'O~
'2.3tO S'oAo
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Dep rtment of Public Works Z3~
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PIJmbina I nsoect
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