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Home My WebLink About0156994-Building (roof) � CITY OF OSHKOSH No 156994 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1234 BROAD ST _ Owner WAYNE/CHRISTINE M EDGE Create Date 07/30/2013 Designer Contractor BILL BERNIER Inspector John Zarate Category 041 -Residential Roofing Plan Type � Building � Sign � Canopy � Fence � Raze Zoning R-1 Class of Const: Size Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection j 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 Piain Height Permit Not Required Park Dedication Not Required #Dwelling Units 0 #Structures 0 Use/Nature SFR/(Work started-Late Permit)Tear off and replace existing roofing on house and garage due to age. Also installing triple-wall of Work 'chimney to connect to a wood burning stove. Seperate HVAC permit may be required if deemed necessary by inspector. i � HVAC Contractor Plumbing Contractor Elect�ic Contractor Fees: Valuation $1,350.00 Plan Approval $0.00 Permit Fee Paid $144.00 Park Dedication $0.00 Issued Date 07/31/2013 Final/O.P. 00/00/0000 ❑ Permit Voided I Parcel Id# 1508140000 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 un ersta d the afore mentioned in ation. \ Signature � ��_ ^ �� Dat �C� AgenUOwner Address 4982 LEONARD POINT RD OSHKOSH WI 54904 - 9352 Telephone Number 235- 62 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 Phone:(920)236-5050 Of HKO.IH Fax:(920)236-5084 Roofing & Siding Permit Application ON THE 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 I ou are a contractor artici atin in the Permit ee Account S stem and have ade uate unds check here if vou want this nrocessed throu�h vour account �I 3 � � JOB ADDRESS L � OV1'NER I ` CONTRACTOR � I am the: ❑ Owner OR ut-Contractor US�ATEGORY aa'Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Work being done: ROOFING ❑�Cear off and replace existing roofing on e'house,�arage ❑Replace�vood decking ❑Add 1 layer of roofing to the existing �ayer(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 Electiic Contractor) AND ❑Electric Installation Verification form is attached OR C Separate Elect Permit will be requested. 2) ❑Electric—Not Applicable because: u J Blocks previously installed. ❑No outside lights. ❑Other ❑Install new or❑Replace gutters ❑Install new or❑Replace downspouts 1 f / Other related work being done: (please note) w Value of the job�l. �� ` (include fair mazket price for labor even if you are not paying for labor) 03/02