HomeMy WebLinkAbout0124740-Building (roof membrane)
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OSHKOSH
ON THE WATER
Job Address 3000 POBEREZNY RD
CITY OF OSHKOSH No 124740
BUILDING PERMIT - APPLICATION AND RECORD
Owner E:_~AVIATION FOUNDATION INC Create Date 05/10/2007
Contractor M W TIGHE ROOFING INC
Designer
Category
229 - Alteration Schools & other Educational
Plan
Type
__ E3L1i~dirl~_.
o Sign
o Canopy._~__~enc_~_____._Q_Raze
_____J
Zoning
Class of Const:
Size
Unfinished/Basement
Sq.Ft.
Sq.Ft.
Sq.Ft.
Rooms
Height
Ft.
o Projection I
Canopies
Finished/Living
Bedrooms
Stories
Garage
Baths
Signs
Foundation 0 Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier . Other
o Treated Wood
Occupancy Permit
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature ruseum7RePlace roof membrane (EPDM,) no alterationstoexisting insulation.---
of Work
l
,
I
I
J
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees, val""'~"'~
Issued By: W
Plan Approval _____~SL9g Permit Fee Paid
$418.00 Park Dedication
----.--
$0.00
Date 05/10/2007
Final/O.P .00/00/0000
o Permit Voided I
Parcelld # 1323350000
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 necessary a provals befor starting such activity.
Signature
Date ~_/'-<7 '7
Address 183 W MC WILLIAMS ST
Agent/Owner
FOND DU LAC
WI 54935 - 0000 Telephone Number 920-923-2603
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 varticivating in the Permit Fee Account System and have adequate funds, check here
if vou want this processed throuzh your account n
JOBADDRESS 3~oo poB&tZ.ezt./JP Rt
OWNER $,tJJ1. ll(/pP~".I n"p/);Jf~p
CONTRACTOR /Jt W. 7):~#,e kbA/G PA/c.-
e
RECEI\lED
MAY 1 0 2007
I am the:
DOwner
OR
B'l:;ontractor
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
USE CATEGORY
DSingle Family DDuplex DMulti-Family DRentalBCo1i1rllercial o Industrial
Work being done:
o Addition
o External Remodeling
o Handicap Ramp
o Sign/Canopy/Awning
o Deck/Potch/Patio
o F enceIHedge/Kennel
o Hot Tub/Spa
o StairIHandrail
o Driveway/Parking
o GaragelUtility Structure
o Internal Remodeling
o Stove/Fireplace
o Swimming Pool 0 Wrecking Permit
crt5fuer ~ -b~
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: 28:. -ilexJ;& wMY ~ - Re,?~
E#IJ/J1 /1l~I!A;A/L - k'--t1!'h- ~~A/~ P'/f/i'tt~Al_
Any work not included in this application is not permitted.
/ 0'"
Value of the job $ //~ dtiV (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 q.eviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
~'A\P
\;
Name: if~~ t!- ~hiJ~
(Please print)
Signature:~C~
(!.,~.# 9'po- S?'7-;2..?:L1
Date:
.s--/t1-; 1
3/02