HomeMy WebLinkAbout0141008-Building (roof) 4 CITY OF OSHKOSH No 141008
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 217 N MEADOW ST Owner DAVID J JURK Create Date 05/17/2010
Designer Contractor DAN V BINDER CONSTRUCTION
Category 141 - Exterior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 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 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR / Tear off and replace roof on house and garage. * *debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $39.00 Park Dedication $0.00
Issued By: L�v'r'Ll./ Date 05/17/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 0609430000
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 1224 W SOUTH PARK AVE OSHKOSH WI 54902 - 6642 Telephone Number (920) 231 -2114
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (1.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.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phonc: (920) 236-5050
Fax: (920) 236-5084 �
Building Permit Application p / N rl � O
1 s are a c. nt actor ' arti ' i : in the Per i _Fee Account S stem and have ade• ,ate and eck here
i ou want is 'rocs -' throu_ h our a count I d
JOB ADDRESS •Pe/ 7 /V - /I/L A.0 ou' - 57—
OWNER / , ---/ le rh.
CONTRACTOR ' 4 A/ V. /4 Jc Cc) A , i
1 am the: ❑ Owner OR fa Contractor
USE CATEGORY
Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
Work being done:
❑ Addition ❑ Deck/Porch/Patio 0 Driveway/Parking
❑ External Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structure
0 Handicap Ramp 0 Hot Tub /Spa ❑ Internal Remodeling
❑ Sign/Canopy /Awning ❑ Stair/Handrail ❑ Stove/Fireplace
❑ Swimming Pool ❑ Wrecking Permit
Other / — Vi rot,
Additional information, suc 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 o /.::;,�, /7 r ts e '' . J re - S ( . PI • /c.._
Any work not included in this application is not permitted, w
Value of the job $ 4000, (Vidue for materials and labor is required to ensure consistency in accessing
applicants,) cy 6 permit fees for all
PLEASE READ. SIGN. & DATE:
1 certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained 1 acknowledge and agree to these terms.
Name: D/44 l___ 0- An Le
(Please print)
Signature:
Received Time May. 17. 2010 7:50AM No. 1040 pate: j / /7 /�a
J
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