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� CITY OF OSHKOSH No 156686
�
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 755 W 5TH AVE Create Date 07l15/2013
Project ROOFING Project Number 0
Owner SOHM WOLF LLC Plan
Contractor DRIESSEN CARPENTRY
Inspector Nicole Krahn
Designer
Category 041 -Residential Roofing Type of Plan
2oning C-1 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 '� Canopies Signs
Use/Nature
of Work
COMM/REPLACE EXISTING ASPHALT ROOFING-NO STRUCTURAL CHANGES **check#3912
I
�
,
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation 4,200.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: ��l Date 07/15/2013 Final/O.P. 00/00/0000
❑ Permit Voided � Parcel id#0604100000
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 und a the mentioned information.
Signature Date
AgenUOwner
Address 50 COUNTY ROAD K OSHKOSH WI 54904 - 9180 Telephone Number (920)231-7145
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 Oslikosh �
Inspection Services Division :
P O Box 1130 �
Oshkosh,WI 54903-1 1 30
Phone:(920)236-5050 �������
Fax:(920)236-5084
ON THE WATER -
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$100.00 plus the
normal permit fee,which ever is greater.
OR
�you are a contractor participating in the Permit fee Account Svstem and have adeguate funds check here
if vou want this p�-ocessed through vour account n
JOB ADDRESS ��� � ��� ��'� .
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ON'NER 17[
CONTRACTOR � � /' �
I am the: ❑ Owner OR �Contractor
USE CATEGORY
❑Single Family �Duplex ❑Multi-Family ❑Rental I�'Commercial ❑Industrial
v �
Work being done:
ROOFING
f�$Tear off and replace existing roofing on❑house,❑garage
✓ \
❑Replace wood decking
❑Add] layer of roofing to the existing layer(s)on❑house,❑garage �
This work is being done due to❑Hail Damage ❑Other
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl �
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to❑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 Elecuic 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 . 1_
❑Install new or❑Replace downspouts ��(.�Q(��� e.X�ST,n�
Y�
Other related work being done: (please note) A�Ohu-r� �����q �`'� S(r(,�
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Value of the job $ �� (include fair market price for labor even if you are not paying for labor) 03/02
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