HomeMy WebLinkAbout0101670-Building (3 exterior doors)OSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
621 WAUGOO AVE
141 - Exterior Remodeling
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner MICHAEL R DORSEY
Contractor OWNER
Building O Sign O Canopy O Fence O Raze
No 0101670
Create Date 05/21/2003
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 (~ Floating Slab O Pier O Other
(~ Concrete Block O Post O 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 MULTI-FAMILY/Replacing 3 extedor doors (same size and location). *NO STRUCTURAL WORK.
of Work
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
Issued By: ,~
$1,050.00 Plan Approval $0.00 Permit Fee Paid
$25.00 Park Dedication $0.00
Date 05/21/2003 FinallO.P. 00/00/0000
[] Permit Voided J
governing the described
construction.
Signature~ ~ ~~ Date
' '- ~,~Agent/Owner
Address 1621 JACKSON ST - OSHKOSH WI 54901 - 2943 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
]f you are a contractor participating in the Permit Fee Account System and have adequate funds, check here,
(f vou want this processed through your account ~
JOB ADDRESS
OWNER
CONTRACTOR
I am the:
lYOn. u3 o 0
OR [] Contractor
USE CATEGORY
[-1Single Family F1Duplex ~lti-Family
I"lRental
IZICommercial
[]Industrial
Work being done:
[] Addition
~extemal Remodeling [] Handicap Ramp
[] Sign/Canopy/Awning
[] Swimming Pool
[] Other
D Deck/Porch/Patio
[] Fence/Hedge/Kennel
[] Hot Tub/Spa
[] 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.
Full description of work being done: /" tC.~/n c_./5. ~ ~ ~1~.~. ~Do.r~c'
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:
Signature:
(Please print)
Date:
3/02