HomeMy WebLinkAbout0104245 BOSHKOSH
ON THE WATER
.lob Address 659 W SOUTH PARKAVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner TIMOTHY P LEIBY
Contractor OWNER
Category 141 - Exterior Remodeling
No 104245
Create Date 09/17/2003
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/Install 4 replacement (same size and location) windows, 3-dining room & 1-bathroom.* NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$950.00 Plan Approval $0.00 Permit Fee Paid
$20.00 Park Dedication $0.00
Date 09/17/2003 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.
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.
Signature Date
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
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.
OSHKOSH
ON THE WATER
Job Address 659 W SOUTH PARK AVE
Designer
Category t41 - Exterior Remodeling
Type O Building (~ Sign
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
No 104245
Owner TIMOTHY P LEIBY
Contractor OWNER
Create Date 09/17/2003
Plan
Canopy (~ Fence (~) Raze
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 O Poured Concrete (~ Fiosting Slab ~) Pier (~ Other
(~ Concrete Block (~) Post (~ Treated V~/ood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures
Size
[] ProjectionI
Canopies
Signs
0
Use/Nature SFR/Install 4 replacament (same size and location) windows, 3-dining room & 1-bathroom,* NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
$950.00 Plan,Approval
Plumbing Contractor
$0.00 Permit Fee Paid $20.00 Park Dedication $0.00
Date 09/17/2003 Final/O.P. 00/00/0000
[] Permit Voided I
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 peRorm the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and ~re an ,,~ae. cgssary approvals before starting such activity.
' ~/~/ Agent/Owner '
Address ~' Oshkosh WI 54901 - 0000 Telephone Number
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-$050
Fax: (920) 236-5084
O/HKO/H
Building Permit Application o,
If you are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here
if you want this processed through )~our account ~
CONTRACTOR ~
I am the: /~Owner OR [] Con,actor
t
CE CATEGORY
ingle Family []Duplex []Multi-Family []Rental []Commercial []Industrial
[] Deck/Porch/Patio
3 Fence/Hedge/Kennel
Z Hot Tub/Spa
[] Stak/Han~ail
[] Wrecking Permit
[] Dfiyeway/P~king
[] Garage/Utility Stmctuxe
[] Intemal Remodeling
[] Stove/Fkeplace
Work being done: [] Addition
[] External Remodeling
[] Handicap Ramp
[] Sign/Canopy/Awning
[] Swimming Pool
Other
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
Full description of work being done:
located in the hallway, may be referenced to note if any additional information is necessary.
~:/? Any work not included in this application is not permitted.
job $~._~ (~ ~d;7 (Value for material~ and labor is required to ensure consistency in accessing permit fees for all
Value
of
the
applicants ~
PLEASE READ, SIGN~ & DATE:
[ certify the above information ts complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Signature: //~
Date: /~--/
3/02