HomeMy WebLinkAbout0128242-Building (windows; doors)
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OSHKOSH
ON THE WATER
Job Address 650 W 19TH AVE
CITY OF OSHKOSH No 128242
BUILDING PERMIT - APPLICATION AND RECORD
Owner MICHAEL J RUTHERFORD Create Date 12/20/2007
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
Unfinished/Basement
Sq. Ft.
Finished/Living
Sq. Ft.
Garage
Sq. Ft.
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 SFR / Replace 2 windows, front door and storm door, wrap windows, and hard pipe dryer vent. **DEBIT ACCT**.
of Work
Plumbing Contractor
HV AC Contractor
Electric Contractor
$3,000.00 Plan Approval
$0.00 Permit Fee Paid
$39.00 Park Dedication
$0.00
Fees: Valuation
Issued By:
~
Date 12/20/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1408010000
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.
I have read and understand the afore mentioned information.
Signature Date
Agent/Owner
Address 3905 COUNTY RD II TRLR 36
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 20 07 10: 53a
::: CiW ofOslJkoob
inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Dave Halverson
920-720-0521
p.l
Building Permit Application ON T;.lF WATER
lfvau are a contractor "artie/pating in the Permit Fee Account Svstem and have adequate funds. eheck here
if ~ou want this DTocessed throUflh vaur account ~
~
OJHKOJH
JOB ADDRESS ~ SO [.v /9 f-A 1'1 i./ c[
OWNER /'Y? (C~ iIACt.. f.L)'rilt"r-~-C'llf?
CONTRACTOR l _bF4 (:;1-- ,-SA-FE: S C;~VI · CGJ
I am the:
DOwner
OR ~ontractor
USE CATEGORY
DSingle Family DDuplex OMulti-Family DRental OCommercial DIndustrial
Work being done:
o Addition
o External Remodeling
o Handicap Ramp
o Sign/Canopy/Awning
o Swimming Pool
o Other
Additional iDformation, 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.
.:. Full description of work being done: R-E.Pcl'~CiS (;2 {/0l tV 06....; s.. F/L[)l.....;-
/
. I f~ /' P '- ,.n, ^ 'q'l} f) ?' ~
/J'V' ......"1 l-v. ,...., "'" 11 (." Ic.....,..,
o DecklPorchlPatio
o DrivewaylParking
o GaragelUtility Structure
6intemal Remodeling
o Stove/Fireplace
o FencelHedgelKennel
o Hot Tub/Spa
o StairlHandrail
o Wrecking Permit
ORJ-'fL
. 1.-. r.:-}
\)C'-'
Any work not included in tbis aoplication is Dot oermitted.
Value of the job $ 3, 000 (Value for materials and labor is reqllited to ensure consistency inaccessingpennit fees for all
applicants.) ,
PLEASE READ. SIGN. & DATE:
1 certify the above information is complete and accurate. ATV' deviations from the above submitted
in/ormation may require additional permits to be obtained 1 acknowledge and agree to these terms.
Name: ;OAlJt J../AL L,'Ell..Jc,0
(please print)
Signature: (j) __;~
Date~ I d ..../1-0)
3/02