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Home My WebLink About0146997-Building (roof) CITY OF OSHKOSH No 146997 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1165 FREEDOM AVE Owner MATTHEW J /JODY A MITTELSTAEDT Create Date 07/26/2011 Designer Contractor ARISTA CRAFT BUILDERS LLC Inspector John Zarate Category * 141 - Exterior Remodeling Plan Type • Building ❑ Sign O Canopy O Fence O Raze Zoning Class of Const: Size Unfinished /Basement Sq. Ft. Rooms Height Ft. ❑ Projection Finished /Living Sq. Ft. Bedrooms Stories Canopies Garage Sq. Ft. Baths Signs Foundation • Poured Concrete O Floating Slab O Pier O Other 0 Concrete Block 0 Post O Treated Wood Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required Park Dedication Not Required # Dwelling Units 0 # Structures 0 Use /Nature 1SFR / TEAR OFF AND REPLACE EXISTING ROOFING ON HOUSE & ATTACHED GARAGE, NO STRUCTURAL CHANGES **check of Work 6 #5326 HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $6,270.00 Plan Approval $0.00 Permit Fee Paid $67.00 Park Dedication $0.00 Issued By: (YYlk Date 07/27/2011 Final /O.P. 00 /00 /0000 ❑ Permit Voided Parcel Id # 1250174800 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. I have read and understand the afore mentioned information. Signature Date Agent/Owner Address 3203 MARSH CREEK RD OSHKOSH WI 54904 - 0000 Telephone Number 233 -0898 * 141 - Exterior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500 -113 on the DNR Asbestos Program website; http: / /dnr.wi.gov /air /compenf /asbestos /. For additional information on hazards present in buildings see the Pre - Demolition Environmental Checklist at http: / /dnr.wi.gov /org /aw /wm /publications /anewpub /WA651.pdf 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. S3Q(p City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 OJ -KOJH Fax: (920) 236 -5084 ON THE WATER Roofing & Siding Permit Application • 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 without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account fl JOB ADDRESS z/6 5- L Q pt o r•c /G OWNER /'f'C /-1,-`'ref /.f/40,/f CONTRACTOR � � P� I�OS�7'' — 4 9 ( I am the: ❑ Owner OR l Contractor USE CATEGORY Single Family ❑ Duplex ❑ Multi - Family ❑ Rental ❑ Commercial ❑ Industrial Work being done: ROOFING i"Tear off and replace existing roofing on E house, 1111 garage ❑ Replace wood decking ❑ Add 1 layer of roofing to the existing layer(s) on ❑ house, ❑ garage This work is being done due to ❑ Hail Damage ❑ Other SIDING ❑ Install siding on ❑ house, ❑ garage ❑ Replacing vii ith vinyl ❑ Replacing steel or alu • m with vin • . uminu ❑ Replacing with This work is being done due to ❑ Hail Damage ❑ Other When siding is done, one of the boxes below must be checked: 1) ❑ Electric — Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/ • tions are being performed by (Name of Licen - - . • • .. or) AND ❑ Electric Installation Veri' - . ion form is . • . ed OR ❑ Separate Elect Permit will be requested. 2) ❑ Electric — Not Applicable because: ❑ J Blocks previously installed. ❑ No outside lights. ❑ Other ❑ Install new or ❑ Replace g ers ownspouts Other related work being done: (please note) Ceefge �o✓� Value of the job $ (include fair market price for labor even if you are not paying for labor) 03/02