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Home My WebLink About0152838 - Building (roof) CITY OF OSHKOSH No 152838 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 750 BISMARCK AVE Owner JERAMIAH M/RHONDA F HOUSWORTH Create Date 10/09/2012 Designer Contractor SUN ROOFING Inspector Nicole Krahn Category 041 -Residential Roofing Plan Type • Building 0 Sign O Canopy 0 Fence O Raze Zoning R-2 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 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 AND VINYL SIDING ON THE HOUSE AND ATTACHED GARAGE DUE TO of Work HAIL DAMAGE-NO STRUCTURAL CHANGES **debit acct HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $ 6,000.00 Plan Approval $0.00 Permit Fee Paid $124.00 Park Dedication $0.00 Issued ByM �) Date 10/09/2012 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id#0602730000 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 ecessary appro Is before arting such activity. I have read and u d tllafo of ned s n Signature w �� ( i r � ' 5 Date /1/p/z6 Z Agent/Owner Address 4538 N FRENCH RD APPLETON WI 54913 - 8363 Telephone Number (920)954-5545 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 OfHKOfH Fax:(920)236-5084 I III I I 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 Ifyou are a contractor participating in the Permit ,ee Account System and have adequate funds, check here if you want this processed through your account JOB ADDRESS 7 SD U 5"al'c t bS h �O5 h ( L 1 OWNER Je(`A. y r ?I'taAcic /7.9,4 5 t-00/4"1 CONTRACTOR S K .-, boa-'t, I am the: ❑ Owner OR - {_contractor CATEGORY Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Work being done: ROOFING YI■lear off and replace existing roofing on C4lhouse,Farage ❑Replace wood decking ❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage This work is being done due t)OHail Damage ❑Other SIDING Install siding on house, /0 garage Replacing vinyl with vinyl ❑Replacing steel or aluminum with vinyl(circle steel or aluminum) ❑Replacing with /, I n This work is being done due to❑Hail Damage Other /I e'e c e n $1,6 br do-z t 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 Elect is Contractor) AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested. 2)'Electric—Not Applicable because: ❑J Blocks previously installed. E.No outside lights.Ether Ale,- 4(4-4'c b.r CIti-4145 ❑Install new or❑Replace gutters ❑Install new or❑Replace downspouts Other related work being done: (please note) // ye, Value of the job $ /l� Q� r (include fair market price for labor even if you are not paying for labor) 03/02