HomeMy WebLinkAbout0155177 - Building (front porch repairs) CITY OF OSHKOSH No 155177
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 619 FRANKLIN ST Owner RUSSELL H/KAREN L PETTIBONE JR Create Date 01/15/2013
Designer Contractor LEAD-SAFE SERVICES INC
Inspector Kenneth Gresser
Category 043-Residential Decks Plan
Type • Building 0 Sign O Canopy O Fence O Raze
Zoning R-2PD 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 O Poured Concrete 0 Floating Slab O Pier O Other
• Concrete Block O Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Front porch repairs including new step treads/risers and stabilize southeast support pier,also vinyl siding repairs.
of Work
HVAC Contractor Plumbing Contractor _—
Electric Contractor
Fees: Valuation $3,600.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: 1 Date 04/22/2013 Final/O.P. 00/00/0000
I ❑ Permit Voided Parcel Id#0703380000
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 3905 COUNTY RD II TRLR 36 LARSEN _ WI 54947 - 9791 Telephone Number (920)850-5043
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.
LS Construction Services 920-725-5323 p.1
}, P O Box 1130
City of Oshkosh Oshkosh,W1 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
- Building Permit Application www.ci.oshkosh.wi.us
Project ,r ,
Address i� ! ( �!c r��K UN S T
Applicant Owner ( , n�tractor Tenant Other(describe)
Owner/ Name IQJ.S,S PC T T( 40A-)C- Phone
Tenant
Address 67 ( r h4-, -'1t L r ti Email
Contractor Company Name LE40-Si4.re SC-go'c S ..:274'‘•1C Phone 9c)-0 - ,2/3 -6 41 Si
Contact ,DA-L /1{Z 0 CTSt Email
Address .�7 I Li 4 - sr- peEri4ii 6,j1 SYCJ
State Credential #'s /SS / '7 , / 5ç/ ,
Dwelling Contractor Qualifier 4. Dwelling Contractor# Building Contractor Registration ai
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type (side t a1 Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Al ration
Project
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job 3000 CO
$ � (Value for materials&labor is req_to ensure consist, -ss e-rtnit fees for all applimnts.)
Payment by: Check # Cash Permit Fee Accoun
1 certh'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: Qdt-L6 /IA 6.1.'E or-, (Please print) Date: "12—/3
Signature: _ ic4.--12____..