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o
OSHKOSH
ON THE WATER
Job Address 14581460 W 2ND AVE
CITY OF OSHKOSH No 124631
BUILDING PERMIT - APPLICATION AND RECORD
Owner CAROL J MCCAUGHTRY Create Date 05/04/2007
Contractor SERVEPRO OF THE FOX CITIES INC
Designer
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy o Fence o Raze
Class of Const: Size
Rooms Height Ft. o Projection I
-
Bedrooms Stories Canopies
-
Baths Signs
-
Zoning
Unfinished/Basement
Sq.Ft.
Finished/Living
Sq.Ft.
Garage
Sq. Ft.
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature Duplex / #1458 - Repair fire damage, siding, roofing, 1 trusse, drywall and insulation.
of Work
Plumbing Contractor
HV AC Contractor
Electric Contractor
Fees: Valuation
$20,000.00 Plan Approval
~
$0.00 Permit Fee Paid
$148.00 Park Dedication
$0.00
Issued By:
Date 05/04/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 0611640800
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 secur ny necess ap ovals before starting such activity.
Signature
Date
P~7
Address
Agent/Owner
APPLETON
WI 54915 - 0000 Telephone Number 233-1110
To schedule inspections please call the Inspection Request line ;:1t 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.
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 yOU are a contractor partici/Jatinz in the Permit Fee Account System and have adequate funds. check here
if yOU want this /Jrocessed through your account n
JOB ADDRESS /cfsf tv r2fl/O Itvf
OWNER ('Mdt. >>Jc C/ruyh'7-
CONTRACTOR ,5yP// tV,#ao . OF ~
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I am the:
DOwner
OR ~Contractor
USE CATEGORY
OSingle Family ;zrDuplex OMulti-Family ORental o Commercial DJndustrial
Work being done:
o Addition
lLExtemal Remodeling
o Handicap Ramp
o Sign/Canopy/Awning
o Deck/PorchIPatio
o F encelHedgelKennel
o Hot Tub/Spa
o StairlHandrail
o DrivewaylParking
o GaragelUtility Structure
mntemal Remodeling
o StovelFireplace
o Swimming Pool 0 Wrecking Permit
~Other hAl ~/tJ~p~
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 done:
. ~~~~ :"~;r:tJff' i.-{ A#&N15
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Anv work not included in this application is not permitted.
Value of the job $ ~ .I' J~~ (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.) "'?A9> ~/'-1/J..cz;;L.
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PLEASE READ. SIGN. & DATE:
I certify the above information is complete and accurate. Any cieviations from the above submitted
information may require additional permits to be obtained.
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Signature:
Name'
Date:
~~
3/02