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OSHKOSH
ON THE WATER
Job Address 2605 JACKSON ST
CITY OF OSHKOSH No 126624
BUILDING PERMIT. APPLICATION AND RECORD
Owner BROWNE LLC Create Date 09/06/2007
Designer
Fisher
Contractor R J ALBRIGHT INC.
Category
205 - Alteration Amusement, Social, Recreation
Plan 24-2074-0807
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement
Sq.Ft.
Sq.Ft.
Rooms
Height
Ft.
o Projection I
Canopies
Finished/Living
Bedrooms
Stories
Sq.Ft.
Baths
Signs
Garage
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Required
Occupancy Fee
$0.00 Flood Plain No
Height Permit Not Required
o
# Structures
o
Park Dedication
Not Required
# Dwelling Units
Use/Nature Interior remodel, new accessible restroom, ceilings, finishes, exterior entry and facade modifiactions as per plans.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
8,850.00 Plan Approval
$0.00 Permit Fee Paid
$205.00 Park Dedication
$0.00
Date 09/06/2007 FinaI/O.P. 0010010000
o Permit Voided I Parcelld # 1219800000
In the performance of his work I agree to perform all work pursuant to rules governing the described construction.
While the City of Os osh has no auth y to nforce easement restrictions of which it is not a party, if you perform the work
described in this p mit ap lica', n wi n a asement, the City strongly urges the permit applicant to contact the easem~et
holder(s) and to cure a ss ap ovals before starting such activity.
Signature , Date "
. Agent/Owner
Address 5711 GREEN VALLEY RD
OSHKOSH
WI 54904 - 9700
Telephone Number
231-8635
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
Building Permit Application
If ~ ou ate a contractor. artici atin in the Permit Fee Account S stem and have ade
i ou want this processed through vour account n
~
. OfHKOfH
ON THE WATER
JOB ADDRESS ~ ~tJ 5
OWNER ?rtc J'-1c)
CONTRACTOR rg. J.
0ACt=SON ~
J:..,...A14A?tJ ~rlOU~
r
A-'-fA/l..IC-vH."- JAJl,
R~~.,-
u..e
I am the:
DOwner
OR ~ontractor
c.... L-\ _ r2:i)I L\.. 0"291
USE CATEGORY
DSingle Family DDuplex DMulti-Family DRental portrmercial o Industrial
Work being done:
o Addition
~ernal Remodeling
o DeckIPorcb/Patio
o Driveway/Parking'
o Handicap Ramp
o Sign/Canopy/Awning
o Swimming Pool
o Other
o Hot Tub/Spa
o StairlHandrail
o Wrecking Permit
o GarageJUtility Structure
~ternal Remodeling
o StovelFireplace
o FencelHedgelKennel
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: NIlktJ7l .%~OI1ll.c- .#~
.. f
R~"l1t.b~ . I C!. elc.../~"~ i ~/AJI S';/~ ,
~'1' - ~ a1D~
J.f.L..
E~dQt.
Value of the job $
applicants.)
Any work not included in this application is not permitted.
...3 9) 8 SO. (41 (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 ~eviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Signature:
3/02
Name:
Date: