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Home My WebLink About0152384 -Building (roof) CITY OF OSHKOSH No 152384 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1003 EVANS ST ---_ -- Owner LUCILLE R MILLER Designer Create Date 09/13/2012 Contractor WERNER HOME IMPROVEMENTS LLC Inspector John Zarate Category 041 -Residential Roofing ---------- --- ------- Plan Type ---- • Building 0 Sign O Canopy 0 Fence 0 Raze Zoning R-1 Class of Const: — — Size Unfinished/Basement Sq.Ft. Rooms —.— — Height Ft. ❑ Projection Finished/Living Sq. Ft. -- — Bedrooms Stories Canopies Garage — --- -- g Sq. Ft. Baths — Signs Foundation • Poured Concrete O Floating Slab 0 Pier ❑ Other O Concrete Block 0 Post 0 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 SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE-NO STRUCTURAL CHANGES ' of Work "check#4008 HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation 8,256.00 Plan Approval pP $0.00 Permit Fee Paid $81.00 Park Dedication $0.00 Issued By: Date 09/14/2012 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id# 1108500000 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 ithin an easement,the City strongly urges the permit applicant to contact the easement holder(s)and t. _ • r- -ny necess approvals before starting such activity. I have read d un. : d afo mentioned information. Signature ) 1 Date ,4,------- Agent/Owner Address 2147 POINT COMFORT RD OSHKOSH_— WI 54902 - 7513 Telephone Number 236-9109 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 Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 011��071-1 Roofing & Siding Permit Application ON THE WATER • 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 [l JOB ADDRESS cX)3 ,C(4 { c t. OWNER L )I t" 1 /- - J CONTRACTOR &kiYIe/-1-440,1< /.,ta,�--illes( I am the: ❑ Owner OR yontractor USE CATEGORY C Rental __ingle Family ❑Duplex ❑Multi-Family ❑ (1 ❑Commercial 0 Industrial Work being done: ROOFING ❑Tear off and replace existing roofing oihouse,'6�'garage ❑Replace wood decking ❑Add I layer of roofing to the existing layers)on❑house,0 garage This work is being done due to❑Hail Damage ❑Other t? SIDING ❑Install siding on ❑house, ❑garage ❑Replacing vinyl with vinyl ❑Replacing steel or aluminum with vinyl(circle steel or aluminum) ❑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/modifications are being performed by (Name of Licensed Electric Contractor) AND LI Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested. 2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. J Other ❑Install new or❑Replace gutters ❑Install new or❑Replace downspouts Other related work being done: (please note) Value of the job $ ,----Cw (include fair market price for labor even if you are not paying for labor) 03/02 c/ r0�'