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Home My WebLink About0157241-Building � CITY OF OSHKOSH No 1s�2a� OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 633 MOUNT VERNON ST Owner NEIGHBORHOOD HOUSING SERVICES OF SE WI Create Date 08/14/2013 Designer Contractor LONGWORTH CONSTRUCTION INC Inspector John Zarate Category * 140-Interior Remodeling Plan Type � Building � Sign � Canopy � Fence 0 Raze � Zoning R-2PD 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 0 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/interior remodeling(kitchen and bath)and tear off and re-roof house. of Work "'LATE FEE ADDED FOR WORK DONE PRIOR TO ISSUANCE OF PERMIT*** I I : I HVAC Contractor _ Plumbing Contractor Electric Contractor Fees: Valuation $14,000.00 Plan Approval $0.00 Permit Fee Paid $248.00 Park Dedication $0.00 Issued By: �� Date 08/15/2013 Final/O.P. 00/00/0000 ❑ Permit Voided i Parcel Id#0402510000 In the performance of this woric 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 an derstand the afore mentioned information. Signature Date � ( genUOwner Address 3206 LEO OINT LN OSHKOSH WI 54904 - 7117 Telephone Number 379-1179 * 140-Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500-113 on the DNR Asbestos Program website;http://dnr.wi.gov/air/compenf/asbestos/.For additional information on hazards present in buildings see the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf 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. � P O Box 1130 C'lty �f�s�/G�S� Oshkosh,WI 54903-1130 � Phone:(920)236-5050 Fa�:(920)236-5084 Building Permit Application �w��.oshkosh.wi.us Project / ' Address lp 3� � pl,l yt�-� ��`�'V N�U,^ Applicant Owner Contractor Tenant Other(describe) Owner/ Name��. �/ff�f C Phone ��0 13C? ��_ Tenant Address Email Contractor Com an Name �`� �y t,c �,.� Cj�(j_-�'�C� ,.` ,—�C� P Y Lf�n�`.�c't, � � 4h� Phone Contact t w� �.l'71/l Email�'�,�p� ,�(M<, �� - � �� , V Address aC�(o �¢.C`�I/KSbG� �tv�7�" �V� ��q �e��. 1x11 '��`Id� State Credential #'s �D��D 7 C7 , > Dwelling Contractor Qualifier# Dwelli�g Contractor# Building Contractor Registration# Achitect/ Company Name Phone Designer Contact Email Address Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial Catagory New Addition Alteration Project ^ _�� '� ` C / Description �✓u r� � u�a �� .�� 6J�� 7'��,�' .�//� � : . %�c�—�/1�� a��-� c.v � I� �v� �C'�� - . Mechanical Separate permits will be obtained for the following: Permits Electrical by Plumbing by Heating by Value of Job � $ ��r�� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) Payment by: Check # Cash Permit Fee Account I certify the above information is conaplete and accurate. Any deviations from the above submitted information may require additional permits to be obtained. I acknowledge and agree to these terms. N3TTle: � �(�,C'�.�_� ,� �j (Please print) Date: � �� Signature: City of Oslikosh � Inspection Services Division : P O Box 1130 � Oshkosh,WI 54903-I 130 Phone:(920)236-5050 � F�:(920)236-5084 �f�K�� Roofing & Siding Permit Application �"T"E 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 cont��actor partici�atin� in the Permit fee Account Svstem and have adeauate funds check here � rf vou want this processed throu�h vour account n � JOB ADDRESS /� �j � /�_ � .D f/(/ � OR'NER � A,P./� -a' �� ) co�vTU�cTOU�� (J�—, ro�� T� I am the: ❑ Owner OR '�ntractor USE CATEGORY �gle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Work being done: ROOFING r�.�Tear off and replace existing roofing o��l�use,❑gazage t/ �Replace�vood decking ❑Add 1 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 witli vinyl ❑Replacing steel or aluminum with vinyl(circle steel or aluminum) ❑Replacing with This work is being done due to O 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 (Naroe of Licensed Elect�ic Contractor) AND C Electric Installation Verification form is attached OR C�Separate Elect Permit will be requested. 2) ❑Electric—Not Applicable because: �J Blocks previously installed. C No outside lights. C Other ❑Install new or❑Replace gutters ❑Install new or❑Replace do�mspouts Other related work being done: (please note) Value of the job $ �� . (include fair market price for labor even if you are not paying for labor) 03/02