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OSHKOSH
ON THE WATER
Job Address 2330 ALLERTON DR
CITY OF OSHKOSH No 126621
BUILDING PERMIT - APPLICATION AND RECORD
Owner JOSEPH C VERWIEL Create Date 09/05/2007
Contractor OMNI WINDOW & DOOR INC
Designer
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement Sq. Ft.
Rooms
Height
Ft.
o Projection I
Finished/Living
Sq.Ft.
Bedrooms
Stories
Canopies
Garage
Sq.Ft.
Baths
Signs
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit
Occupancy Fee
$0.00 Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature 'SFR /Install replacement windows in existing openings.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$9,695.00 Plan Approval
~/O
$0.00 Permit Fee Paid
$88.00 Park Dedication
$0.00
Issued By:
Date 09/06/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1317960000
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 curee y cessary approvals before starting such activity.
Date
'1/~[(j7
Address 5715 GREEN VALLEY RD
Agent/Owner
OSHKOSH
WI 54904 - 0000
Telephone Number
232-2111
To schedule inspections please call the Inspection Request line at 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
I ou are a contractor artici atin in the Permit Fee Account S stem and have ade
ifvou want this processed throufJh vour account n
ON THE WATER
OWNER
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JOB ADDRESS
CONTRACTOR
I am the:
DOwner
OR J::8CGontractor
USE CATEGORY
~ing1e Family DDuplex DMulti-Family DRental DCommercial OIndustrial
Work being done:
o Addition
o External Remodeling
o Handicap Ramp
. .
o Sign/Canopy! Awning
o Deck/PorchlPatio
o F encelHedgelKennel
o Hot Tub!Spa
o StairlHandrail
o DrivewaylParking
o GaragelUtility Structure
o Internal Remodeling
o StovelFireplace
o Swimming Pool 0 Wrecking Permit
~ther ~M<>J, \.)\tJC>Q""'~
Additional information, s~ch 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: ReP~tv'v l.J I~ t>Dw \ I,.) U I!. ntJf:J
~CWttJu~. NO ~,J~
Value of the job $ 9:lo~S" .riJ
applicants.)
Any work not included in this application is not permitted.
(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.
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Name: T~ ~ ' ~Q"
. . A..LA \\ (please pnnt)
Signa~~_
Date: 1/s-/o1
3/02