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o
OSHKOSH
ON THE WATER
Job Address 2266 ALLERTON DR
CITY OF OSHKOSH No 126974
BUILDING PERMIT- APPLICATION AND RECORD
Owner KIM DOBBINS Create Date 09/27/2007
Designer
Contractor OWNER
Category
141 - Exterior Remodeling Plan
. Building
o Sign
o Canopy
o Fence
o Raze
Type
Zoning
Class of Const:
Size
Unfinished/Basement Sq. Ft.
Rooms
Height
Ft.
o Projection i
Finished/Living
Sq.Ft.
Sq.Ft.
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
# Dwelling Units
o
# Structures
o
Use/Nature . FR /lnstall1 0 replacement windows in existing openings.
of Work
...
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $9,000.00 Plan Approval
Issued By: if~
$0.00 Permit Fee Paid
$81.00 Park Dedication
$0.00
Date 09/27/2007
Final/O.P. 00/00/0000
o Permit Voided i
Parcelld # 1317900000
Date
7-;<~ -0 ~
I
WI 54904 - 8212
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
If you are a contractor lJarticipatinf! in the Permit Fee Account System and have adequate funds. check here
if you want this processed throuzh your account n
JOB ADDRESS ~ d & ~ A- (I e ({ i () /lJ f) K
OWNER !(; YVJ th-+-<'2 -;;:) CO a. h po. b b ; ttJ s
CONTRAC;OR -r ~ d ~_ llA A)~t-J(v{/~~
I am the:
~ Owner
OR 0 Contractor
USE CATEGORY
~Single Family DDuplex DMulti-Family DRental DCortnnercial Ofudustrial
Work being done:
o Addition
o Deck/PorcblPatio
o Driveway/Parki?g
o GaragelUtility .Structure
o External Remodeling
o F ence/Hedge/Kennel
o Handicap Ramp 0 Hot Tub/Spa 0 Internal Remodeling
o Sign/Canopy/Awning 0 Stair/Handniil 0 Stove/Fireplace
o Swimming Pool 0 Wrecking p\(rmit .
1\Other ~. I))-f~
Additional infor ation, s-qch 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: ~JU'~ ,.e( 'l~ f) -to / . 2i!'LC..<.---rw=-
. ~ /1 (
I"C~.A:.. c
Anv work not included in this application is not permitted.
Value of the job $ q 0 () 0 (Value for materials and labor is required to ensure consistency in accessing permit fees for all 1 ~
""Ikm..) /. t ;) k Ilj
PLEASE READ, SIGN, & DATE:
I certify the above information is complete and accurate. Any (leviations from the above submitted
information may require additional permits to be obtained. 1 acknotw~e and agree to these terms.
. Name: Cff;~ {)rU~
(please pnnt)
Signature: ~. ~j~
Date: q - () t:1 -iJ 7
3/02