HomeMy WebLinkAbout0126972-Building (windows/exterior)
G
OSHKOSH
ON THE WATER
Job Address 1227 BROAD ST
CITY OF OSHKOSH No 126972
BUILDING PERMIT - APPLICATION AND RECORD
Owner DEBBY J PANSKE Create Date 08/27/2007
Contractor LEAD-SAFE SERVICES 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.
Sq.Ft.
Rooms
Height
Ft.
D Projection I
Canopies
Signs
Finished/Living
Bedrooms
Stories
Garage
Sq.Ft.
Baths
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 4 window replacements, soffit, fasCia and repair siding.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$7,500.00 Plan Approval
;}/YPt./'J
$0.00 Permit Fee Paid
$74.00 Park Dedication
$0.00
Issued By:
Date 09/27/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1507140000
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 before starting such activity.
Signature
Date
Agent/Owner
LARSEN
WI 54947 - 3513
Telephone Number
850-5043
Address 3905 COUNTY RD II #36
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.
~:
21 07 09:52p
Dave Halverson
920-720-0521
p. 1
: : i ;:)' of OSl1Kosh
'.s;3cc!ion Servi.ces Division
~." C: Sox r i3C
~~shkosn. \VI 54903-1130
?!~one: i920} 236-5050
;=':,x: (920't 23,:5-5084
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auUding Permit AppHcation- Additions .---......-.-...--.-
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USE CATEGORY
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:"-'l11'F ,.\York not included in this 2f}piic&1l:ion lis rw,t permitted. Please make sure tu attach \'our
:to this application with aU the rea,oired iuformatioll:
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';~]iklhl~ '\la1ue of the .toG:>> not nncluding &il~cnanicaJ.s $ __--Y~-()Q.d:JtJ
:rt.JSASE RE.W" SIGN. & DA'I'E:
;- cerl'if).' f.he above iF"jormation is complete and acc'U;,ate. Any deviationsfrom the above submitrec!
;',,,{ormation may require additional permits to be obtained. I acknowledge and agree to these terms.
Name; OAv~ /~ftLu6(lS()~
(Please print i
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Date:
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11/03