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OSHKOSH
ON THE WATER
Job Address 1624 DOEMEL ST
CITY OF OSHKOSH No 124398
BUILDING PERMIT - APPLICATION AND RECORD
Owner DAVID R CLARK Create Date 04/25/2007
Designer
Contractor BRENNAN-FRASER ROOFING
Category
141 - Exterior Remodeling Plan
Type
.~uildin9._~~m~ _O_~i9n
o Canopy
O~ Fence
o Raze_~
Zoning
Class of Const:
Size
Unfinished/Basement
Sq.Ft.
Sq. Ft.
Sq.Ft.
Rooms
Height
Ft.
o Projection I
Finished/Living
Bedrooms
Stories
Canopies
Garage
Baths
Signs
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit Not Re9'J.ir"E:l~~_
Park Dedication
Flood Plain
Height Permit
# Dwelling Units
o
# Structures 0
Use/Nature SFR / REPLACE 2 DOUBLE AWNING WINDOWS ON SOUTH SIDE OF HOUSE, SAME SIZE AND LOCATION, NO STRUCTURAL
of Work ~HANGES "debt acct
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuati~~_:-~1,2~9.gg Plan Approval
Issued By: ..Q.l--L-l kJ
$0.00 Permit Fee Paid
$32.00 Park Dedication
$0.00
Date 04/25/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcel Id # 1514360000
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
Address 415 N PERKINS ST
Agent/Owner
APPLETON
WI 5491~ - 3138 Telephone Number 739-5559
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
InspcctiQDSc:rvices Division
POBox 1130
Oshkosh. WI 54903-1130
Pboue: (920) 23~SOSO
Fax.: (920) 236-5084
Roofing & Siding Permit Application
~
O{fi<Q,(R
" . ApplicaUon(s) and fcc(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without ~t(s) will result in fees beine doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
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OWNER
(.
I am the;
[J Owner
OR 9tI=on1raetDr
USE CATEGORY
~Sinlle Family 0 Dllplex
o Multi-family
c aenw
C Commercial
o InduJuial
Work being done:
ROOFING,
o Tell" oft' and rtp*e exilling roofin& on [] house, CI garage
[J Rcp~ wood d<<:kil\i
o Ad4 IlayeroCrooflnl to the cxistinl
'This work is beins done due: to C Hail Damale Cl OthC'l'
SIDING
layer(l) on 0 house. D garaac
C ]05%*)1 siding on C bouse, 0 prase
[] Replacml vinyl with vinyl
C ~1~8 steel or alwninum with vinyl (circle steel or aluminum)
o Rep1ecml with
This work is bcUle clone due to [j Hail .Dama&t 0 Other
When lidingls done, ODe of tqe boxes below must be checked:
I) 0 Elcdric _ Exilltinl Electric Meter, m;eptacle. liJhtina and Elc:c:1riG Service cnnnct alccrat:ioM'modificatiaftl are beill' perfonncd
by
(H... o(~ EJIcIric CocIlne1Ot)
AllmO Electric; Installation Verification Conn is anachcd .QB, 0 sePante Elect Permit wm be ~uested-
. -
2) 0 Electric - Not Applicable: becauae: 0 J Blocks previously in5tallcd. 0 No out$ide lights. 0 Other
o In.ltlln new or 0 Replace guftCn
a InsWl new or 0 ~Iace downspouu
Other ~.I.ted work being doD';~l"" nole) ~ce d
· .6r>.S6~~,-Jo ct ~~. . . .
Value of the job ~ (In,lud~ fair matICet pn" tor ICor - j(~~.... 001 peyin, fOl" labor)
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