HomeMy WebLinkAbout0100759 BOSHKOSH
ON THE WATER
.lob Address 1757 OHIO ST
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner LEONARD A KOEPKE
Contractor OWNER
Category 141 - Exterior Remodeling
No 0100759
Create Date 04/10/2003
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 Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature SFR/Replace soffit & fascia on the house. *NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$400.00 Plan Approval
$0.00 Permit Fee Paid
$20.00 Park Dedication $0.00
Date 04/10/2003 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 1757 OHIO ST WI 54902 - 6753 Telephone Number
OSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
1757 OHIO ST
141 - Exterior Remodeling
CiTY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner LEONARDA KOEPKE
Contractor OWNER
· Building O Sign O Canopy O Fence O Raze
No 0100759
Create Date 04/10/2003
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 O Floating Slab (~ Pier (~ Other
O Concrete Block O Post (~ Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures
Size
[] Projection J
Canopies 0
Signs 0
Use/Nature 3FPJ Replace soffit & fascia on the house. *NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~[
Plumbing Contractor
$400.00 Plan Approval $0.00 Permit Fee Paid
$20.00 Park Dedication $0.00
Date 04/10/2003 FinallO.P. 00/00/0000
[] Permit Voided
In the perf(~rmance of this work I agree~o peC;)r~ all work I;)ursuant to rules governing the described construction.
S ig n at u re ~/~¢,,4,/~/'~ ~~ Date
/ ~ ~/r - Agent/Owner
Address 1757 OHIO ST OSHKOSH WI 54902 - 6753 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 Fou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if Fou want this processed through Four account ~1
CONTRACTOR
I am the: I~ Owner OR [] Contractor
USE CATEGORY
[~Single Family []Duplex
Work being done:
[] Addition
~KExternal Remodeling
[] Handicap Ramp
[] Sign/Canopy/Awning
[] Swimming Pool
[] Other
ElMulti-Family []Rental []Commercial
[] Deck/Porch/Patio
[] Fence/Hedge/Kennel
[] Hot Tub/Spa
[] Stair/Handrail
[] Wrecking Permit
[]Industrial
-1 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 th e hallway, may be referenced to note if any additional information is necessary.
':' Full description ofwork being done: .,5~,_ ~_'~e_ c/Z,,e--~ ~Cr[~g_~ ,'~,.,V' ,~_,01./~6>_
Value of the job $
applicants.)
Any work not included in this application is not permitted.
(Value for materials and labor is required to ensure consistency in accessing perra/t 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.
· (Please print) .
Signature:
Date:
3/02