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OSHKOSH
ON THE WATER
Job Address 936 W 11TH AVE
CITY OF OSHKOSH No 124490
BUILDING PERMIT - APPLICATION AND RECORD
Owner JOHN W/CAROL J WILSON Create Date 04/30/2007
Designer
Contractor OWNER
Category
140 -Interior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement Sq. Ft.
Rooms
Height
Ft.
o Projection I
Finished/Living
Sq.Ft.
Bedrooms
Stories
Canopies
Signs
Garage
Sq. Ft.
Baths
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature SFR / Remodel bathroom, upstairs rail and kitchen cupboards.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$2,000.00 Plan Approval
~
$0.00 Permit Fee Paid
$32.00 Park Dedication
$0.00
Issued By:
Date 04/30/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1302920000
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 czL C( / / -e ) t~
/' ."
Date
Agent/Owner
Address 2415 HERITAGE CT
OSHKOSH
WI 54904 - 0000 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
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Building Permit Application ON THE WATER
If vou are a contractor oarticioatinf! in the Permit Fee Account Svstem and have adeQuate funds. check here
if vou want this processed throuf!h vour account n
JOB ADDRESS q'Yo LV 11TH'
OWNER d{),-IJJ w WiLSON
CONTRACTOR /i] I K0 mcx:rlU2..
CJ S /1tCa:s1l
I am the:
J8[ Owner
OR 0 Contractor
USE CATEGORY
~Single Family DDuplex DMulti-Family DRental DCori:1mercial DIndustrial
Work being done:
o Addition
o External Remodeling
o Handicap Ramp
o Sign/Canopy/Awning
o Swimming Pool
o Other
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
o Deck/Porch/Patio
o Driveway/Parking
o FenceIHedge/Kennel
o Garage/Utility Structure
...RInternal Remodeling
o Stove/Fireplace
GHot Tub/Spa
o StairIHandrail
o Wrecking Permit
located in the hallway, may be referenced to note if any additional information is necessary.
.:. Full description of work being done: Alew t3&71Tf'J...D::J/fJ ~ 0;::; 57lJt1Z:5 ;;!./J-I L k /iG/}/;;.)
v . / r
~Ol!_O s
Any work not included in this application is not permitted.
Value of the job $ c:2. ~ om ..
applicants.)
(Value for materials and labor is required to ensure consistency in accessing permit fees for all
PLEASE READ. SIGN. & DATE:
I certify the above information is complete and accurate. Any 4eviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Name: Ck4U/<A.;~,)
t:? (please print)
Signature: ~..,:.1- 0/ tA/kkr'Y
Date: y-/ .3 c;/ ;;;:.007
3/02