HomeMy WebLinkAbout0125087-Building (siding/windows)
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OSHKOSH
ON THE WATER
Job Address 213 W SMITH AVE
CITY OF OSHKOSH No 125087
BUILDING PERMIT - APPLICATION AND RECOIRD
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Owner LAVERNE PEERENBOOM Create Date 06/01/2007
Designer
Contractor YELLOW JACKET ROOFING
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms Height Ft.
Finished/Living Sq.Ft. Bedrooms Stories
Garage Sq.Ft. Baths
Foundation . Poured Concrete 0 Floating Slab o Pier o Other
o Concrete Block o Post o Treated Wood
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Occupancy Penmit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
o Projection I
Canopies
Signs
Park Dedication # Dwelling Units 0 # Structures I 0
Use/Nature SFR /INSTALL SIDING ON HOUSE AND REPLACING 10 WINDOWS (SAME SIZE AND LOCATION); NO STUCTURAL CHANGES
of Work
Plumbing Contractor
HV AC Contractor
Electric Contractor
Fe.., val",~.OO
Issued By:
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Plan Approval
$0.00 Permit Fee Paid
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$39.00 P~rk Dedication $0.00
Date 06/01)2007 FinaIlO.P. 00/00/0000
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Parcelld # 1518510000
o Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perf~rm the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact thy easement
holder(s) and to securi' any neces approvals before starting such activity.
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Signature / (
tV
Date 6-/0 7
Agent/Owner
Address
690 MONROE ST
OSHKOSH
WI 54901 - 4647
Telephone N~mber
920-235-1434
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To schedule inspections please call the Inspection Request line at 236-5128 noting the Addres~, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain erltry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the reque$t 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
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OfHKOfH
ON THE WATER
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax: (920) 236-5084
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· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspectibn Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 pluS the
normal permit fee, which ever is greater. I
OR .
Ifvou are a contractor participatinf! in the Permit fee Account System and have!adeouate funds; check here
if yOU want this processed through your account n
JOB ADDRESS d 13 S ,r-y) ~..}-~\ ~".-
OWNER '-:J' ; r'Yl r., /:<''' G\' ~r d .-\-
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CONTRACToR=15a<'chY;:FizJ+~c"'( "'"T +t.._;:.:X:.:t....(..37"\.~
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)( Owner Or 9( Contractor~
,.,.~._"..-==-~~...-=-~~ . -...
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\/ellow p-ac.w ~()3
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I am the:
USE CATEGORY
IlZi Single Family . 0 Duplex .
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Work being ~one:
ROOFING
o Multi-Family
o Rental
o Commercial
o Industrial
o Tear off and replace existing roofing on 0 house, 0 garage
o Replace wood decking
o Add 1 layer of roofing to the existing
This work is being done due to 0 Hail Damage 0 Other
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layer(s) onO house, 0 garage
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SIDING
jJ Install siding on f/. house, . 0 garage
o Replacing vinyl with viny~
o Replacing steel or aluminum with vinyl (circle stec;:1 or aluminum)
D. Replacing with
This work is being done due to 0 Hail Damage 0 Other
When siding is done, one of the boxes below must be checked:
. I) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alteratio~slmodifications are being performed
by .
(Name of Liceased Electric Contractor)
AND 0 Electric InstaIlation Verification form is attached OR
o Separat~ Elect Permit wIll be requested.
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. 2) 0 Electric ~Not Applicable because: 0 J Blocks previously installed. 0 No outside lights. 0 Other
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o Install new or 0 Replace gutters
o Install new or 0 Replace downspouts
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Other related work being done: (please note)
Value of the job $
-2CU' " O. . (,;0
) ---
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(include fair market price for labor even if you are not ~aying for labor)
03/02