HomeMy WebLinkAbout0100093 BOSHKOSH
ON THE WATER
JobAddress 1018WNEWYORKAVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner FRANCIS M KOERWITZ
Contractor LEAD-SAFE SERVICES INC
Category 141 - Exterior Remodeling
No 0100093
Create Date 03/06/2003
Plan
Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. ~J Projection
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies
Garage 0 Sq. Ft. Baths 0 Signs
Foundation O Poured Concrete (~) Floating Slab (~) Pier (~) Other
(~) Concrete Block (~) Post (~) Treated Wood
Occupancy Permit Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature SFR/ Replace 17 windows, 2 doors soffit and trim. Kitchen will be remodeled to include new cabinets and drywall. Any walls that are "Opened"
of Work shall be brought up to current building and electrical codes.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
WITZKE ELECTRIC
Plumbing Contractor UNKNOWN
$21,296.00 Plan Approval $0.00 Permit Fee Paid
$101.00 Park Dedication $0.00
Date 03/06/2003 Final/O.P. 00/00/0000
Permit Voided ]
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
NEENAH
Address 761 HARVARD DR WI 54956 - 3513 Telephone Number 850-5043
OSHKOSH
ON THE WATER
Job Address 1018 W NEW YORK AVE
Designer
Category 141 - Exterior Remodeling
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner FRANCIS M KOERWITZ
Contractor LEAD-SAFE SERVICES INC
Type · Building O Sign O Canopy O Fence O Raze
No 0100093
Create Date 03/06/2003
Plan
Zoning Class of Const:
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft.
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories
Garage 0 Sq. Ft. Baths 0
Foundation · Poured Concrete (~ Floating Slab (~ Pier (~ Other
O Concrete Block (~) Post (~) Treated Wood
Occupancy Permit Flood Plain __ Height Permit
Park Dedication # Dwelling Units 0 # Structures
Size
[] Projection I
Canopies 0
Signs 0
Use/Nature SFPJ Replace 17 windows, 2 doors soffit and trim. Kitchen will be remodeled to include new cabinets and drywall. Any walls that are
of Work "Opened" shall be brought up to current building and electrical codes.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~,~
WITZKE ELECTRIC
Plumbing Contractor UNKNOWN
$21,296.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided
$101.00 Park Dedication $0.00
Date 03/06/2003 Final/O.P. 00/00/0000
In the performance of this work I agrg~ to perform all work pursuant to rules governing the described construction.
Signat u re~/,~ ~(~...._'~ ~ Date
Agent/Owner
Address 761 HARVARD DR NEENAH WI 54956 - 3513 Telephone Number
850-5043
City ~f OshkoSh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Building Permit Application
O/HKO/H
ON THE WATER
If you are a contractor participating in the Permit Fee Account System and have adequate _funds, check here
if you want this processed through your account [~
I am the: 1-1 Owner OR [] Contractor
USE CATEGORY
]2]SingleFamily [2Duplex r'lMulti-Family F1Rental F1Commercial r-llndustrial
Work being done:
[] Addition
~ External Remodeling
[] Handicap Ramp
[] Sign/Canopy/Awning
[] Swimming Pool
[] Other
[] Deck/Porch/Patio
[] Fence/Hedge/Kennel
[] Hot Tub/Spa
[] Stair/Handrail
[] Wrecking Permit
[] Driveway/Parking
[] Garage/Utility Structure
~Intemal Remodeling
[] Stove/Fireplace
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.
Full description of work being done: [7 ~)~ ~ 5' Z_ d~c ~- 5
Any work not included in this application is not permitted. ~/' ~'~ ~'- 5
Value of the job
applicants.)
(Value for materials and labor is required to ensure consistency in accessing permit fees 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:
(Please print)
Date:
3/02