HomeMy WebLinkAbout0156344-Building (roof) � CITY OF OSHKOSH No 156344
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD :
ON THE WATER
Job Address 1816 MOUNT VERNON ST Owner VICKIE M POLLNOW Create Date 06/24/2013
Designer Contractor FOX VALLEY ROOFING 8 SIDING
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy 0 Fence � Raze I
Zoning R-2 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 � Floating Slab 0 Pier � Other
0 Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit '
Park Dedication #Dweiling Units 0 #Structures 0
Use/Nature SFR/Tear off and re-roof house and garage :
of Work '
*debit acct**'
I '
I
f
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,590.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Oedication $0.00
Issued By: `f� Date 06/24/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1503320000
In the perFormance of this work I agree to perform all work pursuant to rules governing the described construction.
While the Ciry 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
AgenUOwner
Address PO BOX 137 MENASHA WI 54952 - 0137 Telephone Number (920)730-3033
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 specifed 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.
06/22/2013 10:46 9207252744 FOX UALLEY RFG PAGE 01/01
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