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� CITY OF OSHKOSH No 156191
�
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 226 W SMITH AVE Owner LAJ INVESTMENTS LLC Create Date 06/14/2013
Designer Contractor OWNER
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign 0 Canopy � Fence � Raze I
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/I.iving Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature 'SFR/Tear off and re-roof house. No structural changes.
of Work
""check#1010*"*
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,
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,800.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: �� Date O6/14/2013 Final/O.P. 00/00/0000
❑ Permit Voided; Parcel Id# 1518430000
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 Oshkosh WI 54901 - 0000 Telephone Number
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.
�� C�l�l �'.S ��''�S "' �I�Cl,J G
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City of Oshkosh �.� �� �� G`� � �
Inspection Services Division � l U � � _ ��� �
POBox 1130 ���� �0� ' � � �
Oshkosh,WI 54903-1130
Phone: 920 236-5050 �/, � --""'j��r 1
Fax:(920)236-5084 �' `��� tiC / ��
Roofing & Siding Permit Application ��TtiF 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
If vou are a contractor narticipating in the Permit fee Account Svstem and have adequate funds check here
�vou want this processed throu�your account n
JOB ADDRESS � �� \/ `I • � c �� • �J� ICD J �t �� �yqG I
OWNER u.Yf��, 1� lC �/e,j�"
CONTRACTOR r S�i �� �S' l 1 e '�
I am the: �Owner OR O Contractor
USE CATEGORY nT•��.+ �VED
q.Single Family ❑Duplex ❑Multi-Family �Rental ❑Commercial �f
Work being done:
�� �c��S��� JUN 13 2013
ROOFING
f0 Tear off and replace existing roofing on�house,�garage DEP,#i2T�lE�T OF
�Replace wood decking �- �OVl�iUNT'�Y�E1'ELOP�fEVT
�ECTIO�SF�2�'(CES UI�'ISIOV
❑Add 1 layer of roofing to the existing layer(s)on O house,�garage � � •
This work is being done due to❑Hail Damage �Other
• IDING
� stall siding on ❑house, ❑garage
❑Rep cing vinyl with vinyl
❑Replac steel or aluminum with vinyl ircle steel or aluminum)
❑Replacing ��
This�v�rk is beit done due te ail Dar.:age ❑L,`ther
When siding is o ,one of the boxes below must be checked:
1) ❑Electric—E ' tin lectric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(N of Licensed Elx Contractor)
AND ❑Ele ric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) lectric—Not Applicable beca e: ❑J Blocks previously installed. ❑No outside lights. ❑Other
❑lnst new or❑Replace gutters
❑I all new or❑Replace downspouts
Other related work being done: (please note) � ►Z-��'�-/ se I �-(��1N1 I t
�lj �e S ; 5 a � (o �ra i cn � �
�-� m��'�.� 1 � t Syy �/
Value of the job $ � � �� (include fair market price for labor even if you aze not paying for labor) 03/02
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