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o
OSHKOSH
ON THE WATER
Job Address 916 OSBORN AVE
CITY OF OSHKOSH No 123365
BUILDING PERMIT - APPLICATION AND RECORD
Owner JASON E PETTS Create Date 01/31/2007
Designer
Contractor OWNER
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
Class of Const:
o Fence
o Raze
Zoning
Size
Sq.Ft.
Sq. Ft.
Rooms
Height Ft.
D Projection I
Unfinished/Basement
Finished/Living
Bedrooms
Stories
Canopies
Signs
Garage
Sq. Ft.
Baths
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Not Required
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature FR I REPLACE SIDING ON HOUSE WITH VINYL, NO STRUCTURAL CHANGES
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $1,000.00 Plan Approval
Issued By: ()y-y)L-tj-
$0.00 Permit Fee Paid
------
$25.00 Park Dedication
$0.00
Date 01/31/2007
FinaI/O.P. 00/00/0000
--
D Permit Voided I
Parcelld # 1306610000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 necessa approvals before starting such activity.
Signature .~
Agent/Owner
Date
Address
1112 OHIO ST
OSHKOSH
WI 54902 - 6452
Telephone Number
1LD
37 f-32 J
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.
Roofing & Siding Permit Application
~
OJHKOfH
ON THE WATER
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpermit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Ifvou are a contractor TJarticipatine- in the Permit fee Account Svstem and have adequate funds; check here
ifvou want thisTJrocessed through vour account n
JOB ADDRESS q) \0 0 -6 ~ CO r ~'
OWNER or) Ov\lvA \/ 1~ a.'t.1\~ ,
CONTRACTOR
I am the:
la;Owner
OR
o Contractor
f~SE CATEGORY
/"l Single Family , 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
Work being ~one:
ROOFING
o Tear off and replace existing roofing on 0 house, 0 garage
o Replace wood decking
o Add I layer of roofing to the existing
This work is being done due to 0 Hail Damage 0 Other
layer( s) onO house, 0 garage
SIDING
o Install siding on 0 house, '0 garage
o Replacing vinyl with vinyl
o Replac~ng steel,~, ~umin~ with vinyl (circle ste~l or a1u~num) ), "
0, Replacmg AYe h~ " . With tI V. 1^4J
This work is being one due to 0 Hail Damage 0 Other "
When siding is done, one of the boxes below must be checked:
, 1)
o Electric - Existin~ Electric Meter, r~ceptacle, ligptin~. and Elpctric Service entrance alterations/modifications are being performed
by . 5 r J I ~~ ~('o II ~ {'La,;' ~/Q.q; t~'~ '
(Name of Licensed Elec Contractor) ,
AND 0 Electric Installation Verification fonn is attached OR 0 Separate Elect Permit wIll be requested.
,2) 0 Electric ~ Not Applicable because: 0 J Blocks previously installed. 0 No outside lights. 0 Other
o Install new or 0 Replace gutters
o Install new or 0 Replace downspouts
Other related work being done: (please note)
Value of the job $
/. D DO
I
(include fair market price for labor even if you are not paying for labor)
03/02