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OSHKOSH
ON THE WATER
Job Address 1702 NORTHPOINT ST
CITY OF OSHKOSH No 127812
BUILDING PERMIT - APPLICATION AND RECORD
Owner ROGER H/GAIL M KIMBALL Create Date 11/14/2007
Designer
Contractor LEACH BROS.
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.
o Projection I
Canopies
Finished/Living
Bedrooms
Stories
Garage
Baths
Signs
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit Not Required
Occupancy Fee
$0.00 Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature 'SFR /INSTALL 6 WINDOW REPLACEMENTS, SAME SIZE AND LOCATION, NO STRUCTURAL CHANGES
of Work
Plumbing Contractor
HVAC Contractor
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval
Issued By: 6rrJ [;
$0.00 Permit Fee Paid
$53.00 Park Dedication
$0.00
Date 11/14/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1514680000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 \Je _~!3 any necyfsary ap rovals before starting such activity. / I
Signature /;y' ~. <i. Date II II ~J () 7
Agent/Owner
Address
2883 RUSCHFIELD DR
Oshkosh
WI 54904 - 0000
Telephone Number
420-5005
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, VVI54903-ll30
Phone: (920) 236-5050
Fax: (920) 236-5084
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Building Permit Application ON THE WATER
If vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this processed through vour account n
j7,~~ Jj J!
JOB ADDRESS I / C/.~.... IV tJ r I'll
'f) y
OWNER k c !]-e;-- ^- //M, b Cj / /
CONTRACTOR J..-c t:t LA... 13/lJ <; .
lJ "11'+ P t)
o
!A)/
L.ie
I am the:
DOwner
OR 'Qf Contractor
USE CATEGORY
$Single Family ODuplex OMulti-Family ORental OCortrmercial o Industrial
Work being done:
o Addition
o External Remodeling
o Handicap Ramp
o Sign/Canopy/Awning
o Deck/Porcb/Patio
o FenceIHedge/Kennel
o Hot Tub/Spa
o StairIHandrail
o Driveway/Parking
o Garage/Utility Structure
o Internal Remodeling
o Stove/Fireplace
o Swimming Pool 0 VVrecking Permit
o Other a,;iY/ tit.' iV v( e .j..':J/t:1uf F/A"T""f1. :r
.I -
Additional information, 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: \D ~ 't:Y-u ti J Of aJ-rar)
Any work not included in this application is not permitted.
Value of the job $ . 5-'_ ttJC2.J:J" d-O (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.) ..
PLEASE READ, SIGN, &'DATE:
I certify the above information is complete and accurate. Any tjeviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Name: 5-J-e.V-L L~.~
(please print)
Signature: StP~ ~-~ ~
Date: / ( / /1 J b 7
I f
3/02