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OSHKOSH
ON THE WATER
Job Address 453 MOUNT VERNON ST
CITY OF OSHKOSH No
126283
BUILDING PERMIT - APPLICATION AND RECORD
Owner DENNIS P/DAWN M ARNOLD Create Date
08/15/2007
Designer
Contractor OWNER
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
U nfi nished/Basement
Sq.Ft.
Sq.Ft.
Sq.Ft.
Rooms
Height
Ft.
o Projection I
Finished/Living
Bedrooms
Stories
Canopies
Garage
Baths
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit
Occupancy Fee
$0.00 Flood Plain
Height Permit
Park Dedication
o
# Structures
o
# Dwelling Units
Use/Nature [SFR\ Replace generic window with original "piano" style window.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$0.00 Permit Fee Paid
$25.00 Park Dedication
$0.00
$600.00 Plan Approval
Issued By:
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Date 08/15/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 0400590000
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 sec any necessary approvals before starting such activity.
~
Signature
Date IS Av\.C, 0 7
Address 453 MOUNT VERNON ST
AgenUOwner
OSHKOSH
WI 54901 - 4915
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
Ii~oU area contractor lJarticilJatinz in the Permit Fee Account Svstem and have adequate funds. check here
i_ _ou want this processed throuzh vour account n
JOB ADDRESS '153 v--c-r V~ f\) ot-..'J S\ C> s J..! K" 5 +-I-
OWNER D~~I$ p. (j..iJ~~6L'b
CONTRACTOR
I am the:
g-'Owner
OR 0 Contractor
USE CATEGORY
UJSingle Family DDuplex DMulti-Family DRental DCortnnercial o Industrial
Work being done:
o Addition
o External Remodeling
o Handicap Ramp
o Sign/Canopy/Awning
o F ence/Hedge/Kennel
o Hot Tub/Spa
o S tair/Handrai1
o Driveway/Parking
o Garage/Utility Structure
o Internal Remodeling
o Stove/Fireplace
o Deck/Potch/Patio
o Swimming Pool 0 Wrecking Permit
o Other Re:1"'~e \x.h I<.)~OW
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€fi.-Ac.c< A. 1186~ "'-'OJ'b~W l,tj'1T'U A. (fI4ND (
W ( ~ ]) 0' W A fotJA.~Xr~47E"L T" 18 (, T,o\-t- L- &'1' 72- if lrI) bE A-r -n-l-~ B'A-Cf-< <:1';:::-
o~ f4.1-r;: ~S~~
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, THE "uTe< ~ ~ 0 p=-' -n:+~ C RJ <f.. (10 A L ~I N ~o W WAS fZX/J(JSf!ip
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Fttt<e- \.UCl a'\:l w-A,LL ~~~€"t-I ~ 4'. (o..r 1:> L( (<~ 77t k..<-sro~
wifAT .~ e-sT( ol..f4n::r WAS ,,~lc...c N ~\.L Y ~~e... A S-r..4'~ G;.2.ASs Wt tI,).2>ow.
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AnY work not included in this application is not permitted.
Value of the job $ 'Od _()C;J
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 cleviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
O\z
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Name: )~IV \ S
Signature: L12'
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(please print)
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Date:
I S- ~ c;, 2.. (j (Y'7
3/02