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� CITY OF OSHKOSH No �sss�2
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 260 GRACELAND DR Owner DOUGLAS/JANE BERGER Create Date 05/08/2013
Designer Contractor LUECKS HOME IMPROVEMENT INC
Inspector Nicole Krahn
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze _�
Zoning R-1 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 � Floating Slab � Pier � Other
� Concrete Block � Post � 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/INSTALL(4)SAME SIZE VINYL REPLACEMENT WINDOWS-NO STRUCTURAL CHANGES "debit acct
of Work
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,700.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: � Date 05/08/2013 Final/O.P. 00/00/0000 =
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❑ Permit Voided � Parcel Id#0618330000
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 =
AgenUOwner
Address 706 S MAIN STREET OSHKOSH WI 54902 - 6084 Telephone Number 235-0106
r
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 t
continue if the inspection is not performed within two business days from the time the project is ready. `
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05/08/2013 08:35 19202350145 LUECKS INC PAC� 02
City of Oshkosh '
Inspcction Servic�s Division � ,
P O Box ]]30
Oshlcosh,WI 54903-1130
Phone: (920)236-5050 �
Fax: (920)236-5084 O, u�O �
I �
Roofing & Sidin� 'Permit �pplication bN THE�vqTEF.
� • Application(s)and fee(s)can be brovght to City Ha]l,Rroom 205 or mailed�o Inspection Sen�ic�s,PO Box 1]2S
Oshkosh WI 54903-1128. Commeneing work w�thout�permit(s)wiJ] result in fees being doubF�d or�100.00 lus t :
norma] pernut fee, which ever is g reate r. P h ;
OT�
vou Qre a c �tractor arrrci arrn in rhe Perrni! e�e Accounr Sv ren► and hove ode uae:e furrds check he1:, _
i vou wan f �hl r ce ed lhrou h vour account .__
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JOB ADDRESS� ��j6 ��-1,��i/,�.✓�
OWNER I'✓1/2r�t�s pu lo .�21aiiQ
con�rRP,croR ��1.e��.S o�►�u
I axn the; Q Owr�cr " OR �Con�aqtor
USE CA,TEGO�tY
�Singlc FamilY ❑1�uplex Cl Multi•FamilY ❑Rental
❑Commcrcial Q��7ndusrrial
Work beine done:
ROOF,TN�
❑Tear off$nd replaco existing roofing on D housc,d garag�
❑Replace wood decking
C�Add ] layer�ofroofng to the exlsting
,�layer(s)on D housc,d garage
This work is being done duc to 0 Hsi1 Damage p O�hcr
, SZDING
�lnstall sid�ng on �house, ❑garage
�Rcplating vanyl with viny] .
�Replacin�steel or aluminum with vinyl(circle steel or•alurrmnum)
D Replacing �,� .
7his work is being don�due to ❑Hail Damage ❑p��
Wher� sidi�g is done, one of the boxes below 8rrust be chec�;ed:
)) , ❑Elecvi,e—�xistin�Electric Meter,reccptaele, lighting amd Elecrric$ervice entrance alterations/modifics•vons are bein erformed
by �p
(l"ur+c olLicensed Ekeeic Coneaeeor)
f1N� ]Elecfic 1n5talla[ion Veri.fi�ation fmrm is attached ,O� �Separate Elect PetL,�it wffl bc requcsted.
2) O�Icctric--Not Applicable because: u J Blocks previousfy.installed. �No outside lights, 0 pther
Q lnstall new or�Rep@a��gutters
�Install new or 0 RepEace downspou[s
Other related work beiag done; (paease note) � �-
�i i✓o�aWS i �C (�.—.r/1
�4 c.�.�,4.�,v>'
a�da�'
Value o�tb�job � (includc fair mnrIeet pnec for labor even ifyou are not a i
G Y ng for l�bor) p�/p�