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o CITY OF OSHKOSH No
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1209 W NEW YORK AVE Owner FRANK/PATRICIA L WOLF Create Date
124970
05/18/2007
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.
Sq. Ft.
Rooms
Height
Ft.
D Projection I
Canopies
Finished/Living
Bedrooms
Stories
Signs
Garage
Sq.Ft.
Baths
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 ::;FR / Remodel downstairs bathroom. New sink, toilet, shower, drywall & flooring.
of Work
HV AC Contractor '
Plumbing Contractor
Electric Contractor
Fees: Valuation $1,500.00 Plan Approval
Issued By: /fI'P:::
$0.00 Permit Fee Paid
$32.00 Park Dedication
$0.00
Date OS/24/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcel Id # 0502590000
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) an'!. to se re any necessary ap rovals before starting such activity.
Date
S~4-!o1
Signature
Agent/Owner
Address
WI 54901 - 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
~
OJHKOJH
Building Permit Application ON THE WATER
If YOU are a contractor varticipatinf! in the Permit Fee Account System and have adequate funds. check here
if you want this vrocessed through your account n
JOB ADDRESS I d... DC! ~)e5t Ne vJ {Dr/<- Ave "'lit e..-
OWNER Fn:;t~k+ Po-fr/c./tA.- Wt'J(t: (&'08).570-<2089 ~e(l)
CONTRACTOR
I am the:
)g( Owner
OR 0 Contractor
USE CATEGORY
j(Single Family ODuplex OMulti-Family o Rental o Commercial o Industrial
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,
located in the hallway, may be referenced to note if any additional information is necessary.
.:. Full description of work being done: (! (' '(Vl ocLJ J 0 W rl S fo ,\1'"5 bO\.~ j-oC>J1I1, c ~+ /In new.
5;V1--' 'dt e+ ctl'1. ' evJ olr
o Deck/Porch/Patio
o DrivewayIParking
o FenceIHedge/Kennel
o Garage/Utility Structure
)i Internal Remodeling
o Stove/Fireplace
o Hot Tub/Spa
o StairIHandrail
o Wrecking Permit
Any work not included in this application is not permitted.
Value of the job $ ~ /00 () (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.
'-
~ 3;(~oO
Name: J<^-+('(cio,- v.h If (M vS,
(Please print)
Signature: 'tf~~gJ ct.
S/g1u7
f t
(("'''-Vi K WofP/
W1
Date:
3/02