HomeMy WebLinkAbout0125373-Building (interior slab)
G
OSHKOSH
ON THE WATER
Job Address 1314 OREGON ST
CITY OF OSHKOSH No 125373
BUILDING PERMIT - APPLICATION AND RECORD
Owner ARDEN M OLEJNIK Create Date 06/18/2007
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.
Sq.Ft.
Rooms
Height
Ft.
D Projection I
Canopies
Finished/Living
Bedrooms
Stories
Garage
Baths
Signs
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit Not Required
Occupancy Fee
$0.00 Flood Plain No
Height Permit Not Required
Park Dedication
Not Required
# Dwelling Units
o
# Structures
o
Use/Nature Com/ Remove and replace interior slab on grade floor North interior of bldg 18' x 35'approx size.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Plan Approval
$0.00 Permit Fee Paid
$39.00 Park Dedication
$0.00
Date 06/18/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 0303810000
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 bef{;)re starting such activity.
Signature ~~ c:P ~~
!o. Agent/Owner
Date ~>?cf/6 ?
/' ./
Address
7210 LILLY LN
OSHKOSH
WI 54902 - 9182
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
PO Box 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 particivatinz in the Permit Fee Account System and have adequate funds. check here
if yOU want this processed through your account n
JOB ADDRESS
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CONTRACTOR /1,q/] ./1
I am the: ftlOwner
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S'lCtrPd/'r/
OWNER
OR
o Contractor
USE CATEGORY
DSingle Family DDuplex DMulti-Family o Rental ,29(: ortrmercial o Industrial ,
Work being done:
o Addition
o Deck/Porcb/Patio
o Driveway/Parking
o Garage/Utility Structure
o Internal Remodeling
o StovelFireplace
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: IVo;:-1/J (~Te/1//J i' 0 F b4 ,Lrl/ iP ~
R~kC e . . / l / .. .~
?"CJ.!? C/' .pt-t:' .s:L~p 0'11 t1/-ar:f::P ! ~X ~ "
o F enceIHedge/Kennel
o Hot Tub/Spa
o StairIHandrail
o Wrecking Permit
Value of the job $
applicants.)
Any work not included in this application is not permitted.
n. ,1'"'Y'Pfl 0 c/
t7',:2tlLZ,,_ (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 deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Name: .Atele/l uLeJ1//f
(pleas nnt) ('
Signature: ~~ a-1-~
Date: ~/rrf;/Cf/'?
3/02