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Home My WebLink About0155603-Building (roof) � CITY OF OSHKOSH No 155603 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 121 E MELVIN AVE Owner TONI M EDWARDSlTIMOTHY ADKINS Create Date 05/13/2013 Designer Contractor XACT RESTORATION AND REMODELING Inspector John Zarate Category 041 -Residential Roofing Plan Type � Building � Sign 0 Canopy � Fence � 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 � Floating Slab � Pier � Other � Concrete Block 0 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/TEAR OFF AND REPLACE EXISTING ROOFING,WOOD DECKING,GUTTERS,DOWNSPOUTS, SOFFIT AND FASCIA ON of Work HE HOUSE ONLY-NO STRUCTURAL CHANGES ""check#1027 i � � I HVAC Contractor Piumbing Contractor Electric Contractor Fees: Valuation $7,000.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00 Issued By� Date 05/13/2013 Final/O.P. 00/00/0000 ❑ Permit Voided� Parcel Id# 1001820000 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 e afore mentioned information. Signature � Date ,�-/3'/3 AgenUOwner Address 290 � IVERSAL DR STE LL6 OSHKOSH WI 54904 - 0000 Telephone Number (920)915-6798 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 Phon(:(9j 0)236-5050 ��/O.IH Faac: 920 236-5084 �� c;r; r�it �a�A1FF 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$100.00 plus the normal permit fee,which ever is greater. OR If vou are a contractor Darticipating in the Permit fee Account Svstem and have adeauate {unds check here i�vou want this processed through vour account n JOB ADDRESS ��/ ��/c°�v;n S�• OWNER �Mo��/ /`/� ;n S CONTRACTOR_ _ X(kc � ��S�olc.��O✓� cr+� /�P/»o�J��rr�. I am the: ❑ Owner OR I$f Contractor USE CATEGORY �(Single Family O Duplex ❑Multi-Family O Rental ❑Commercial ❑Industrial Work being done: ROOFING �Tear off and replace existing roofing on�house,�garage �j Replace wood decking ❑Add 1 layer of roofing to the existing layer(s)on O house,❑garage This work is being done due to❑Hail Damage �Other SIDING ❑Install siding on ❑house, ❑garage O Replacing vinyl with vinyl ❑Replacing steel or aluminum with vinyl(circle steel or aluminum) �Replacing with r: This work is being done due to O 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 Q9 Replace downspouts Other related work being done: (please note) 'n �,��/�, �,�'�'; � f&.�� v �, Value of the job$ 7�l�� - "O (include fair market price for labor even ifyou are not paying for labor) 03/02 .