HomeMy WebLinkAbout0127798-Building (exterior)
o
OSHKOSH
ON THE WATER
Job Address 655 MOUNT VERNON ST
CITY OF OSHKOSH No
127798
BUILDING PERMIT - APPLICATION AND RECORD
Owner KATHLEEN L SHAW Create Date
11/12/2007
Designer
Contractor
LEAD-SAFE SERVICES INC
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.
Sq.Ft.
Rooms
Height
Ft.
D Projection I
Finished/Living
Bedrooms
Stories
Canopies
Garage
Baths
Signs
Foundation 0 Poured Concrete 0 Floating Slab
. 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 SFR / Re-roof house, install new vinyl siding, enclose soffit/fascia/trim with metal, new rear primary door, repair front steps/guardrails, and
of Work replace front porch windows (same size and location). Work approved by planning division. **debt acct
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $21,800.00 Plan Approval
Issued By: OYYI b--
$0.00 Permit Fee Paid
$154.00 Park Dedication
$0.00
Date 11/13/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 0402730000
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
Address
3905 COUNTY RD II #36
Agent/Owner
LARSEN
WI 54947 - 3513
Telephone Number
(920) 850-5043
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.
:::,v 11 07 11: 57p
::: City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh. WI 54903-1130
Phone: (920)236-5050
Fax: (920) 236-5084
Dave Halverson
920-720-0521
p. 1
~
OfHKOfH
Building Permit Application ON THF Wf\TfR
Ifvou are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if YOU want this Drocessed throur:h your account Ixl
JOBADDRESS bs- S- /YI r 1/ EK/Lf(jAi
OWNER ktl4- r/-t L EEN s.i-I/}t.J
CONTRACTOR ILAO ~- St4Fl'S sett-UiCf:-S rIVe.
)
I am the:
DOwner
OR )StContractor
USE CATEGORY
~ingle Family DDuplex OMulti-Family DRental DCommercial DIndustrial
Work being done:
o Addition
;s'External Remodeling
o Handicap Ramp
o Sign/Canopy/Awning
o Deck/Porch/Patio
o FencelHedge/Kennel
o Hot Tub/Spa
o Stair/Handrail
o DrivewaylParking
o GaragelUtility Structure
o Internal Remodeling
o StovelFireplace
o Swimming Pool 0 Wrecking Permit
)n)tber U:)t I\,.) Dec...) S
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.
.:. Fun description of work being done: R...Ocr I,""; G S i O/~~. v.JJ VV O('o~
/; ". I
(!. E P LAC:. €jVJf:.,-.JT, P 1f-/r.Jrt ,v (5, /)D (t Il. j2 F P ,-/Jc. E I~ C /'J'O;-
, I
Anv work not included in this a-pp6cation is not permitted.
Value of the job $ ,;;2.s~ {j 0 6 (Value for materials and labor is required to ensure consistency in accessing permit fees for all
appliClUlts.)
PLEASE READ. SIGN. & DATE:
1 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.
Name: D Aue HAt. L.-' ots C/'v'
(Please print)
Signature: ([):-..- 4L~
"
Date: 11- I ::;)... D )
3/02