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HomeMy WebLinkAbout0122095-Building (windows) OSHKOSH ON THE WATER Job Address 3U EVELINE ST CITY OF OSHKOSH. BUILDING PERMIT -APPLICATION AND RECORD No 122095 Create Date 10/17/2006 Designer Category. 141 -Exterior RE Plan Type ~ Building Q Sign Q Canopy Q Fence ~ Raze Zoning Class of Const: Size Unfinished/Basement Sq. Ft. Rooms Height Ft. ^ Projection Finished/Living Sq. Ft. Bedrooms Stories Canopies Garage Sq. Ft. Baths Signs Foundation ~ Poured Concrete Q Floating Slab Q Pier Q Other Q Concrete Block ~ Post ~ Treated Wood Occupancy Permit Not Required Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use/Nature of Work FR /INSTALL 9 NEW WINDOWS IN THE SAME SIZE AND LOCATION, NO STRUCTURAL CHANGES HVAC Contractor Electric Contractor Fees: Valuati Issued By: 100.00 Plan Approval $0.00 Permit Fee Paid $39.00 Park Dedication $0.00 Date 10/17/2006 Final/O.P.00/00/0000 ^ Permit Voided Parcelld # 0803810000 In the pertormance 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 it application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to ec a ny necessary approvals befor starting such activity. Signature ~-__.._....._.__,.. ~-- Date ~ ~ _ ~ ~ '- Address 30 EVELINE ST Owner RUSSELL B DIENER Contractor OWNER Agent/Owner OSHKOSH WI 54901 -5428 Telephone Number 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. Plumbing Contractor Yo City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Building Permit Application ON THE WATER If you are a contractor Darticipating in the Permit Fee Account Svstem and have adequate funds check here ~you want this processed through fur account n ~) / , ~~ JOB ADDRESS ..~ `~ ~ ~ e ! / "~ `J OWNER ~ (..t ~S ~ ~ ~~`~ /' ~ C CONTRACTOR I am the: Owner OR ^ Contractor USE CATEGORY ^Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial Work being done: ^ Addition ^ External Remodeling ^ Handicap Ramp ^ Sign/Canopy/Awning ^ Deck/Porch/Patio ^ Fence/Hedge/Kennel ^ Hot Tub/Spa ^ Stair/Handrail i/1 °e rr- ^ Driveway/Parking ^ Garage/LTtility Structure ^ Internal Remodeling ^ Stove/Fireplace ^ Swimming Pool ,` ^ Wrecking Permit Other W .r {~Ol,,~ Additional information, such as plan submittal and approval, may be required before issuance. Fliers, located in the hallway, maybe referenced to note if any additional information is necess ry. ";~ , • Full de cription of rk being done: `~~,~~ ~~ ~, ~ ~ ~ ~ r~ G ,.,~ s ~ ~5~~ Any work not included in this application is not permitted. Value of the job $~~ . ~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 deviations from the above submitted information may require additional permits to be obtained. I a wledge and agree to(~these terms. Name: `~ ~ ~-~.r (Please print) Signature: ` Date: ~ ~T~ ^? ~ ~ ~Y 3/02