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0153742 - Building (roof)
CITY OF OSHKOSH No 153742 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 805 JACKSON ST Owner PINE APARTMENTS IV LLC Create Date 11/28/2012 Designer Contractor BB CONSTRUCTION Inspector John Zarate Category 041 -Residential Roofing Plan Type • Building 0 Sign 0 Canopy 0 Fence _ 0 Raze Zoning R-2PD 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 0 Floating Slab 0 Pier 0 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 DUPLEX/TEAR OFF AND REPLACE EXISTING ROOFING ON THE NORTH SIDE OF THE HOUSE ONLY-NO STRUCTURAL of Work HANGES **check#8521 HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuatin 000.00 Plan Approval $0.00 Permit Fee Paid $53.00 Park Dedication $0.00 Issued By: 5c-M Date 11/28/2012 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id# 0500890000 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 rongly urges the permit applicant to contact the easement holder(s)and to secure = necessary approvals before g-rt.'a such activity. I have read and und- st:nd the afo a ened inf.,u' j,�. Signature Ir �� Date �� ���� Agent/Owner Address 521A N 4TH AVE REDGRANITE WI 54970 - 0000 Telephone Number 920-290-0127 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 #14 Inspection Services Division PO Box 1130 Oshkosh,WI 54903-1130 Phone:(920)236-5050 0/HKOIH 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 (J g 34/4C16 CO Isj S f OWNER c l-Q 1,121')S ee S P2 c,__Ne2 e 1 (es CONTRACTOR T3 B ( n 5+2(k,C4 l D N I am the: ❑ Owner OR G&tractor USE CATEGORY ❑Single Family ❑Duplex ❑Multi-Family 7E1—Rental ❑Commercial ❑Industrial Work being done: ROOFING , ( l` c n tear off and replace existing roofing on LOniuse,❑garage �1 ©2 1 ►1 J l GC e ❑Replace wood decking ❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage This work is being done due to❑Hail DamageQther pmt 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 ❑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. ❑Other ❑Install new or❑Replace gutters ❑Install new or❑Replace downspouts Other related work being done: (please note) Value of the job $ S6 D (include fair market price for labor even if you are not paying for labor) 03/02