HomeMy WebLinkAbout0123551-Building
',.,...
o
OSHKOSH
ON THE WATER
Job Address 1227 JACKSON ST
CITY OF OSHKOSH No 123551
BUILDING PERMIT - APPLICATION AND RECORD
Owner VICTOR A GIRENS JR Create Date 02119/2007
Designer
Contractor OWNER
Category
140 -Interior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
U nfi nished/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 0 Other
o Treated Wood
Occupancy Permit Not Required
Flood Plain No
Height Permit Not Required
Not Required
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature SFRI Convert existing bedroom to full bathroom - NO STRUCTURAL CHANGES
of Work
HVAC Contractor
Plumbing Contractor
Electric Contractor
$0.00 Permit Fee Paid
$39.00 Park Dedication
$0,00
Issued By:
Date 02/19/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcel Id # 1202900000
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 a provat' efore starting such activity.
~.. /
) , (
Signature ..4' . .' / '
Date !) -/4'--C/7
Address 1227 JACKSON ST
Agent/Owner
OSHKOSH
WI 54901 - 3751 Telephone Number
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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
Building Permit Application ON THE WATER
If you are a contractor participatinz in the Permit Fee Account System and have adequate funds, check here
if yOU want this orocessed through your account n
I am the:
J "d-;;).-7 -::JA~so V
tJ ) Co <../.-0 tl.-- b I /2-<:?Jv S
~ YhrP
~er OR D Contractor
.5~.
JOB ADDRESS
OWNER
CONTRACTOR
US~ATEGORY
,y:tSingle Family DDuplex DMulti-Family DRental DCommercial DIndustrial
Work being done:
o Addition
o Deck/PorchIPatio
o Driveway/Parking
o Garage/Utility Structure
~terna1 Remodeling
o Stove/Fireplace
o External Remodeling
o Handicap Ramp
o Sign/Canopyl Awning
o Swimming Pool
o Other
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
o FencelHedgelKennel
o Hot Tub/Spa
o StairlHandrail
o Wrecking Permit
located in the hallway, may be referenced to note if any additional information is necessary.
.:. Full description of work beirig done:
Anv work not included in this application is not permitted.
Value of the job $ ..;;:J 50 D fl::. (Value for materials 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: '\flL- -+v ~ A r GiI/?e-NS
(Please print)
Signature: AJ .~r"\., ~. ?8~'
:2 - ~q --- 07
Date:
3/02