HomeMy WebLinkAbout0100629-Building (doors)(~ CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
JobAddress 120 122 STONEY BEACH RD Owner JACK L DARLAND
Designer Contractor OWNER
Category 141 - Exterior Remodeling
No 0100629
Create Date 04/04/2003
Plan
Type 10 Building ~ Sign ~ Canopy ~ Fence ~ Raze
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. ~ 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 Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature 2 single family units on one piece of property - Replace front & rear doors on each house (Same size and location). *NO STRUCTURAL
of Work WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$1,000.00 Plan Approval $0.00 Permit Fee Paid
$20.00 Park Dedication $0.00
Date 04/04/2003 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
OSHKOSH
Address 3448 OAKLAND LN WI 54902 - 7328 Telephone Number
OSHKOSH
ON THE WATER
Job Address
'Designer
Category
Type'
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
120 122 STONEY BEACH RD Owner JACK L DARLAND
Contractor OWNER
141 - Exterior Remodeling
Building O Sign O Canopy O Fence O Raze
No 0100629
Create Date 04/04/2003
Plan
Zoning Class of Const:
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories
Garage 0 Sq. Ft. Baths 0
Foundation ~1t Poured Concrete (~ Floating Slab O Pier (~ Other
O Concrete Block (~ Post O Treated Wood
Occupancy Permit Not Required Flood Plain
Park Dedication # Dwelling Units 0
0 Ft.
Size
[] Projection
Canopies
Signs
Height Permit
# Structures
Use/Nature 2 single family units on one piece of property - Replace front & rear doom on each house (Same size and location). *NO STRUCTURAL
of Work WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
Plumbing Contractor
$1,000.00 Plan Approval $0.00 Permit Fee Paid
$20.00 Park Dedication $0.00
Date 04/04/2003 Final/O.P. 00/00/0000
[] Permit Voided
.~e perform al ork pursu to rules g erning the described construction. ~./~/~.~
In the perform.a~ce-of..this work I a~,( ~~ ~~~'""' "~"~
Signature'~ ~ .>~ Date
/ '~ 4/' AgenFOwner
Address 3448 OAKLAND LN OSHKOSH WI 54902 - 7328 Telephone Number
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
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 ~]
JOB ADDRESS J 2_t9 - / ~ 2_ .~ 2 ,~ :~'~ ~ \/ ~ ~ ~_
CONT~CTOR ~ ~
I am the: ~er OR ~ Contractor
USE CATEGORY
[~ngleFamily FlDuplex [2Multi-Family V1Rental F1Commercial Vllndustrial
Work
being done:
[] Addition
[] External Remodeling
[] Handicap Ramp
[] Sign/Canopy/Awning
[] Swimming Pool
[~'"Other c_ J 'rr ~
· .j
[] Deck/Porch/Patio
[] Fence/Hedge/Kennel
[] Hot Tub/Spa
[] Stair/Handrail
[] Wrecking Permit
[] Driveway/Parking
[] Garage/Utility Structure
[] Internal 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.
':° Fulldescriptionofworkbeingdone: j~.~ I2>~oc~_ ?-'y't~;~2¢ciL >"e~>~ Jz~
Value of the job $
applicants.)
Any work not included in this application is not permitted.
,~o/~/r~ (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:
Date:
3/02