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Home My WebLink About0155487-Building (siding) k � CITY OF OSHKOSH No 155487 ` � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2571 2573 VILLAGE LN Owner GERRITT J/DONNA KLEINHUIZEN REV TRUST Create Date 05/07/2013 Designer Contractor LETT SIDING&TRIM Inspector Nicole Krahn Category 042-Residential Siding Plan Type � Building � Sign � Canopy � Fence � Raze � Zoning R-3 Class of Const: Size Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I Finished/Living Sq.Ft. Bedrooms _ Stories Canopies " Garage Sq.Ft. Baths Signs i Foundation � Poured Concrete Q 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 DUPLEX/REPLACE VINYL SIDING ON THE FRONT OF THE BUILDING ONLY DUE TO HAIL DAMAGE-NO STRUCTURAL � of Work CHANGES - I . _ � HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $1,450.00 Plan Approval $0.00 Permit Fee Paid $44.00 Park Dedication $0.00 Issued By:��rn Date 05/07l2013 Final/O.P. 00/00/0000 `= Y ❑ Permit Voided'I Parcel Id# 1320511500 l 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 Ciry 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 u rstand the a re enti ned information. Signature ��y � Date '' ' � AgenUOwner � Address 5737 CLEVEDON LN OSHKOSH _WI 54904 - 9729 Telephone Number 920-233-4144 € � � 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. � � � , f k City of Oslilcosh � Inspection Services Division POBox1130 � Oshkosh,WI 54903-1130 Phone:(920)236-5050 � O.IHKOlH Fax:(920)236-5084 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 DarticinatinQ in the Permit fee Account Svstem and have adequate funds check here - if vou want this Drocessed through your account I—I _ � r JOB ADDRESS � • � OWNER CONTRACTOR -B 7- � � 1" I am the: ❑ Owner O �ontractor USE CATEGORY , ❑Single Family ❑Duplex ❑Multi-Fanuly C�2ental ❑Comuiercial ❑Industrial Work being done: ROOFING ❑Tear off and replace existing roofmg on�house,0 gazage ❑Replace wood decking ❑Add 1 layer of roofmg to the existing layer(s)on�house,�.garage This work is being done due to❑Hail Dama?e ❑Other SIDING �Install siding on �house, J�garage �eplacing vinyl with vinyl t ❑Replacing steel or aluminum with vinyl(circle steel or aluminum) ❑Replacing witli This work is being done due to�Iail Damage ❑Other When siding'is done, one of the boges below must be checked: 1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed bY (Naa�e of Licensed Electric Contractor) AND ❑Electric Installation Verification form is attached OR ❑Sepazate Elect Permit will be requested. 2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. I�To outside lights. ❑Other ❑Install new or�Replace gutters ❑Install new or❑Replace downspouts Other related work being done: (please note) �S�� ►'1 � l d T Value of the job $ l ��c � V (include fair market price for labor even if you are not paying for labor) 03/02