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HomeMy WebLinkAbout0142485-Building i CITY OF OSHKOSH No 142485 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1820 S KOELLER ST Owner R4J INVESTMENTS LLC Create Date 08/09/2010 Designer Contractor R J ALBRIGHT INC. Category 232 - Alteration Stores & Customer Service Plan L9- 3101 -0810 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 Miller Clock / Interior non - bearing partitions per plans. of Work HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $34,000.00 Plan Approval $0.00 Permit Fee Paid $190.00 Park Dedication $0.00 Issued By: O Date 08/09/2010 Final /O.P. 00 /00 /0000 ❑ Permit Voided I Parcel Id # 1307440113 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. While the City of Oshk h has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this perm within an s ‘' e - xt, the City strongly urges the permit applicant to contact the easement holder(s) and to sec e any necess appr.fais, fore starting such activity. I have read and u rstan• - o me on =: information. Signature // r 8 9 //g Date Agent/Owner Address 5711 GREEN VALLEY RD OSHKOSH WI 54904 - 9700 Telephone Number 231 -8635 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. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236-5050 Fax: (920) 236-5084 OfHKOfH Building Permit Application 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 fl JOB ADDRESS ( 020 � . © /mac c fr,/C- j ^ OWNER N l c t ( c cL / &t/YC S r,. r, CONTRACTOR . 1 , A .L & I am the: ❑ Owner OR Ii Contractor USE CATEGORY �� ❑Single Family ❑Duplex ❑Multi - Family ❑Rental blCommercial ❑Industrial Work being done: ❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking ❑ External Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structure ❑ Handicap Ramp ❑ Hot Tub /Spa ❑ Internal Remodeling ❑ Sign/Canopy /Awning ❑ Stair/Handrail ❑ Stove/Fireplace ❑ Swimming Pool ❑ Wrecking Permit `Other 1n(77Gettrn_ g4 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: lox cc Att /tuAv 5g. 1.9- 3lo( -ego f2v.)6 ?, - M , o,3,C — Any work not included in this application is not permitted. Value of the job $ 3 el wt/. (Value for materials and labor is required to ensure consistency in accessing permit fees for all applicants.) F`• _ - _ ^' 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: „AIW GA( ..�. / (Pleas- rint) / Signature: / �,��. Date: ;/ ", 3/02