HomeMy WebLinkAbout2007-Building
o
OSHKOSH
ON THE WATER
Job Address 1102 ADAMS AVE
CITY OF OSHKOSH No 128075
BUILDING PERMIT - APPLICATION AND RECORD
Owner KERRY DERR 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
Class of Const: Size
Rooms Height Ft. D Projection I
Bedrooms Stories Canopies
Baths Signs
Zoning
UnfinishedlBasement
Sq.Ft.
FinishedlLiving
Sq.Ft.
Garage
Sq.Ft.
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
# Dwelling Units
o
# Structures
o
Park Dedication
UselNature SFR / Remove existing and install two new storm doors in breezway, new handrails/guardrails for existing concrete steps, new vinyl
of Work windows (same size & location), basement handrails/guardrails, and enclose bath window for tub surround.
HV AC Contractor
Plumbing Contractor
Electric Contractor
$7,000.00 Plan Approval
~
$0.00 Permit Fee Paid
$67.00 Park Dedication
$0.00
Fees: Valuation
Issued By:
Date 12/06/2007
FinaIlO.P. 00/00/0000
D Permit Voided I
Parcelld # 1605580000
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 to secure any necessary approvals before starting such activity.
Signature
Date
Address 3905 COUNTY RD II TRLR 36
AgenUOwner
LARSEN
WI 54947 - 9791 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 (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.
~c 06 07 10:52a
::: City of Oshkosh
Inspection Services Division
POBox 1130
~hkosh, VVI54903~1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Dave Halverson
920-720-0521
p. 1
~
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Building Permit Application DN 7H~ \'JATFR
Jf yOU are a contractor oarticioatinS! in the Permit Fee Account Svstem and halle adequate funds. check here
if you want this orocessed through your account ~
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JOBADDRESS----L./O;;;' IJ 9pf3'1.J"
OWNER--1< i;.. tL~ 06Je12
CONTRACTOR t..-G")40 Sfl-r;-b SQVIC E..S
:j:.tvC-.
I am the:
DOwner
OR [R:Contractor
USE CATEGORY
~ingle Family DDuplex DMulti-Family ORental DCommercial DIndustrial
Work being done:
o Addition
o External Remodeling
o Handicap Ramp
o Sign/Canopy/Awning
[J Swimming Pool
o Other
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
o DeckIPorch/Patio
o Driveway/Parking
o Garage/Utility Structure
~ntemal Remodeling
O. Stove/F ireplace
o FencelHedgelKennel
o Hot Tub/Spa
o StairlHandrail
o Wrecking Permit
located in the hallway, may be referenced to note if any additional information is necessary.
.:. Full description of work being done: t< E!UJI.:{; W J/vO(lw S .s TO tJn OOO/lJ
I J
,&/ f> S" U/l /LOlhv 0
Any work not included in this application is not vermitted.
Value of the job $ 'Ii OvD
applicants.)
(Value for materials and labor is required to ensw-e consistency in aoccssing permit foes for all
PLEASE READ. SIGN. & DATE:
I 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: {) 1+116 I-!-A-LUCILStJ/l-J
(Please print)
Signature: 0 ~;tl...L
Date: ;;). -, --07
3/02