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��j CITY OF OSHKOSH No 156146 `
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1740 1750 LOMBARD AVE Create Date 06/05/2013
Project ROOFING Project Number 0
Owner 1740/1750 LOMBARD AVENUE LLC Plan
Contractor AMERICA'S BEST REMODELING
Inspector Nicole Krahn
Designer
Category 041 -Residential Roofing Type of Plan
Zoning R-3 Square Footage
Major Occ Const Class
Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design
Occupancy Permit Not Required _ Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
� Projection I Canopies Signs
Use/Nature
of Work
MULTI-FAMILY(1750 LOMBARD AVE)/TEAR OFF AND REPLACE EXISTING ROOFING ON THE APARTMENT BUILDING DUE TO HAIL
DAMAGE-NO STRUCTURAL CHANGES "debit acct
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $47,500.00 Plan Approval $0.00 Permit Fee Paid $258.00 Park Dedication $0.00
Issued By: `T� Date O6/12/2013 Final/O.P. 00/00/0000
❑ Permit Voided! Parcel Id# 1611220100
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address W243N2731 SINGLE TREE DR PEWAUKEE WI 53072 - 6447 Telephone Number (262)443-4488
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To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Uniess specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
To: Paya 2 of 3 2013-06-04 20:27:5'1 (f3MT) '186633567'13 From: Amarlce'a Bes[Remodelinfl
City o(Oshkosh
lnspection Services Division �����
P O$us 113U -. "i"�.w."n"�+e.�iv�....�,�
Oshkosh,WI i4903-1130 � �����r����
Phone: (920)236-5050 ��`�,�.� . � .
Fxz: (92U)236-SU84 *��
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����.� . t!N TIiE�ifATER
Roofing � Siding Permit Application
Applii;adon(s)and fee(s)can be Urought to City�Hall,Roorn 205 or mailed to fnspecdon Servi�es,PO Box 1 128,Osl�kosli W 1 54903-1 128.
Conuve��ung�vork without permit(s)will result i�i fees being doubled or$1 W.OU plus the uormal pernvt fee,which ever is greater.
If vou are a co.�tract�r oartici�at���a i7 the Per�:it Fee Arcov7t Svstal*: a:id have
adeaL�te f���c�� t��.�e Va= if vou iaant tLii� �r �� h�-• �o�i vo �r 3^^o ��� FY���
JOB ADDRESS �1750 Lombard Ave �
ORNER ;:D&F Investments of Oshkosh LLP
CONTRACTOR �America's Best Remodeling �
I am the: � Owner OR � Contractor
USE CATEGORY
� Sint;leFamily �lluplex �Multi-Family �Rentat �Commercial � Indusu•ial
Work being done:
ROOFING
� Tear off and replace exispng roofing on � house, � garage
Q Replacewood decking
� Add 1 layer of rooting to the eaistin� I � layer(s1 on � house, d�garage
Tlus work is being done due to � Hail Damage Od�er E: �
SIDING
� L�stall siding on � house, � Darape
Q Replacing vinyl v,7d�vinyl
� Replacing(� steel ur � aluminum)with vinyl
Replacing . with ;
Tlus work is bein�done due to Q Hail Damage � Other !.
When siding is done, one of the boxes below naust be checked:
1) (] Flectric—Faisting F1e�.Kric rieter,receptacle,G��htii�b a�td Ele�.�tri�Servire enh�aitc:e altetations/malitic:atious are being
�61fO1TT1Ed vyir �� (Name nf I�cenxed I�]eelric CnnLrau(orl �
Perniits requiring an Electric Installation Verifiication fiorm can notbe processed by e-mail since
both the application and EIV form�nust be submitted together. You may print these forms a��d
submit them together by coming to our office, maili��g them or faxing them together at 236-�084.
. To: Pefle 3 of 3 20'13-OB-04 20:27:5'I (C3MT) �186633567'i3 From: AmerlCe'�Bes[Remodelln9 t
?.) � Elertric—Not Applicable be,:ause: �J Blocks previously installed. �No outside li�;lits.
Otheri; ��
(� Install new or � Replace gutters
(� Tnstall new or[� Replace do�mspouts
Other related work being done: (please note)
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Value uf the job $;47,5 0 00 ��(inc;lude fair mvi�et price for labor even if you are not paying for labor)
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