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OSHKOSH
ON THE WATER
Job Address 3870 JACKSON ST
CITY OF OSHKOSH
No
127464
BUILDING PERMIT - APPLICATION AND RECORD
Owner CHRISTIAN COMMUNITY CHILD CENTER IN( Create Date 10/24/2007
Designer
Contractor SALZER SIDING
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
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
D Projection I
Canopies
Signs
Use/Nature COMM /lnstall4 replacement windows in existing openings. ""DEBIT ACCT"",
of Work
Plumbing Contractor
HV AC Contractor
Electric Contractor
$3,900.00 Plan Approval
~
$0.00 Permit Fee Paid
$46.00 Park Dedication
$0.00
Fees: Valuation
Issued By:
Date 10/24/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1527190000
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address PO BOX 825
Agent/Owner
OSHKOSH
WI 54903 - 0825 Telephone Number (920) 231-5025
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City ofOs~Qsh
Wspeciio.n Scrvic'~s Division
POBox 1130 .
Oshko$. WI ,54903..) 130
Phone:~{~20} i36-50~O
Fax: (920) 236-5084 .
Roofing & Siding Permit Application
~
D/~JB
ON 'r '^TiiR
· . Application(s) and fee(s) can-be brought to CityHall. Room20SormaiJed to fu:,;pection Services, POBox 1128,
Osohkosh WI 54903 -1128. Corr>.mencing WOli.: without pennit(s) wjIJ result in fees being dOl,lbled Or $1 OCLOO plus the
Roonal permit fee,which ever is greater.
OR"" .
. ar'~' ell} l ti n in the. Pe it ee, ceo
i(vou want this Pfocf!.ssed Jh/,(}uJ!h vour (H~C{)Ullt 0 .
J9BADDlUlSS 3B7C)Y;;Z~"h ::J.... :\ .. _<
.'OWNER~~;?-/S'~a/? ~~~/~ '.?~~~~.
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OR Ef'CODb:aOtor
s check here
CONTRACTOR
1 am toe:
DOwner-
USE CATli:GORY
o Single; .FIDlily 0 D\lpi,x
o Multi-Family
o Rental
o CoMrr\l;ro:.il'l1
o IndUSlrillI
Work ~eiD.g ~()nc:
ROOFING
~"
o Teat C,rr pnJ replace cXistlllJ1 f\lOill.lg on 0 house, 0 garagt:
CJ Replace wood deckIng
D Add 1 la.yer pf roofing to the eldsdllg
lbis work is tdnIr: dO!le due tD 0 Haij Damage:
, '\
lI1Yl;r(8) on 0 h\llJ.'ie. 0 garngc
o Olhcr
SIDL~G
o In.stcll ~iding ~\\l (J house, 0 g.a.ragc
n Replacing vini'l with ,'inYI
o Repl/lCillfl 81,"01 or aluminum with vinyl (~ircle st~1 OJ: aluminum)
0. Rcplllcin~ with
This\\'(Jrk iii ~lng done dUl: to 0 Hail D<IlIIag~ DOlher
When siding is dOlle, 'One of the boxes below Inust be cbecked:
I} Cl Eiccinc - E:l:isling Elelitric Mcter, re.cePl-acle, liJmtin~ and Ble~ltic Service enlranc~ alte!'-'41i(ln6fmoditications ~ bci~ pcrtbrmro
by_ . ... '
fNlI.... of L~ lilci:olC C~r=UJr) . .
AtlQ. illileclriO Installation Vari tication Corm iBll.I1al;liet;i QR 0 ScPanuc ela;t P(;llnit will be r~urstal,
2} D EI<:clTIC - Not Appljc(l/)!e bC~5I:; (J J Blockll previ<I\lsly i~staned.. 0 NQ outside lighrs. n ()(hr;r
C] Install new lJr 0 Replace ,gutters
o Illit1ll tl~w or Cl Rc:pia.cc d()WIl.;J)OI.l~1
Otherrel."'d work be..gdo.o: (pleasonow.) ",~~~/ ?/ t//~yc ~/~
~f::' P'~ ~' z,t;
Value of the job $ ;g:q c/1J
~ (include fair market price tor labor even it 'you lU'e 1'101: puying for labor)
03/02
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