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Home My WebLink About0156654-Building (roof) � CITY OF OSHKOSH No 156654 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 522 W 20TH AVE Owner BENJAMIN J/SARAH B POTRATZ Create Date 07/12/2013 Designer Contractor RIPON AREA ROOFING INC Inspector Nicole Krahn Category 041 -Residential Roofing Plan Type � Building � Sign � Canopy 0 Fence 0 Raze Zoning R-1 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 � 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 FR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE-NO STRUCTURAL CHANGES of Work *check#4778 , � , i I j I �I HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $18,000.00 Plan Approval $0.00 Permit Fee Paid $148.00 Park Dedication $0.00 Issued By: �� Date 07/12/2013 Final/O.P. 00/00/0000 ,,� ❑ Permit Voided I Parcel Id# 1409650000 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 n thority to enforce easement restrictions of which it is not a party, if you perForm the work described in this permit appli within an easement,the City strongly u ges the permit applicant to contact the easement holder(s)and to secure a necess ry approvals before startin such acti ty. �� I have read and under and the r mer4tioned information r / z � � Signature � �� Date � 3 A nU r Address W13508 TRI TY RD RIPON WI 54971 - 9219 Telephone Number (920)748-9371 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 54903-1li0 Phone:(920)236-5050 01HKO.IH Fa�c:(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 IT vou are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here if vou want this processed through vour account n JOB ADDRESS s ��- w�5-� a a%� O�iNER S°� � � � �G�� 2—' CONTRACTOR �^ p +� � �i--� C7 � 1 ✓7 I am the: ❑ Owner OR �Contractor USE CATEGORY ❑Single Family ❑Duplex /�fulti-Family ❑Rental ❑Commercial ❑Industrial /\ Work being done: ROOFING �Tear off and replace existing roofing on�house,�garage ❑Replace wood decking ❑Add 1 layer of roofing to the existing layer(s on❑house,�garage This work is being done due to❑Hail Damage QS Other �� J � SIDING ❑Install siding on ❑house, ❑garage ❑Replacing vinyl with vinyl ❑Replacing stee(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,receptade,lighting and Electric Service entrance alterations/modifications are being performed by (Name of Licensed Electiic 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�Replace doHmspouts Other related work being done: (please note) Value of the job $ b � � (include fair market price for labor even if you are not paying for labor) 03/02 �i '�� 18