HomeMy WebLinkAbout0101665-Building (windows)OSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
22 EVELINE ST
141 - Exterior Remodeling
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner PATRIClAA BRIGGS
Contractor OWNER
· Building (~) Sign (~ Canopy (~ Fence (~) Raze
No 0101665
Create Date 05/21/2003
Plan
Zoning
Unfinished/Basement
Finished/Living
Garage
Foundation
Occupancy Perm it
Park Dedication
Class of Const:
0 Sq. Ft. Rooms 0 Height 0 Ft.
0 Sq. Ft. Bedrooms 0 Stories
0 Sq. Ft. Baths 0
· Poured Concrete (~ Floating Slab (~) Pier (~ Other
(~) Concrete Block (~) Post (~ Treated Wood
Not Required Flood Plain Height Permit
# Dwelling Units 0 # Structures '
Size
[] ProjectionI
Canopies 0
Signs 0
Use/Nature
of Work
~FPJ Install 2 replacement windows in the 2nd floor bedroom (same size and location). *NO STRUCTURAL WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued
Plumbing Contractor
$500.00 Plan Approval $0.00 Permit Fee Paid
$20.00 Park Dedication $0.00
Date 05/21/2003 Final/O.P. 00/00/0000
[] Permit Voided
In the pe~0~rrC'e~f thi.,~s..work I agree toj~rform all work pu, rsuant to rules governing the described construction.
Signature~ .//r~~, ~,,, '
Date
J ~'-- -- Agent/(]~vner
Address 22 EVELINE ST OSHKOSH WI 54g01 - 5428 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
If Fou are a contractor participatin~ in the Permit Fee Account System and have adequate funds, check here
(f Fou want this processed through Four account [~
JOB ADDRESS
OWNER
CONTRACTOR
I am the: I~]~jWner OR [] Contractor
USE CATEGORY
ID~ingleFamily []Duplex []Multi-Family []Rental FICommercial []Industrial
Work
being done:
[] Addition
[] External Remodeling
[] Handicap Ramp
[] Sign/Canopy/Awning
[3 Swimming Pool
~ther
[] Deck/Porch/Patio
[] Fence/Hedge/Kennel
[3 Hot Tub/Spa
I3 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: _AL tO: ~0~,,) <~ - oP~7-,, / ~_~ ~ %,~-n,t~
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 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:
(Please print)
Signature~//5~ ~:'~,o.,~ ~~.~_~'
Date:
3/02