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Home My WebLink About0158127-Building (roof) � CITY OF OSHKOSH No 158127 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1411 CEDAR ST Owner MARY ANN DERESINSKI ETAL Create Date 10/07/2013 Designer Contractor BILL BERNIER Inspector John Zarate Category 041 -Residential Roofing _ Plan Type � Building � Sign � Canopy � Fence � Raze I 2oning R-2 Class of Const: Size Unfnished/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 SFRlfear off and replace existing roofing on house due to age. No structural changes. --� of Work I I I I , i I � HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $9,500.00 Plan Approvai $0.00 Permit Fee Paid $100.00 Park Dedication $0.00 Issued By � Date 10/07/2013 Final/O.P. 00/00/0000 ❑ Permit Voidedi Parcel Id# 1205570000 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' formation. Signature 1,��Q,�A �� O �` U 1 3 Date AgenbOwner Address 4982 LEONARD POINT RD OSHKOSH WI 54904 - 9352 Telephone Number 235-5662 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 54903-1 LUO : Phone:(920)236-5050 O�u�/O�u Fax:(920)236-5084 I II\ I I Roofing & Siding Permit Application �N 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 Ifvou are a contractor participatinr� in the Permit fee .Account System and have adeguate funds, check here if vou want this processed throu�vour account n JOB ADDRESS I y I I l=Q� � � OWNER ��V1N\ ��y�/Y� 11 S r CONTRACTOR--!� `.,�1SL'\/1�'�/�-�_ I am the: ❑ Owner OR B�ontractor US ATEGORY Single Family ❑Duplex ❑Multi-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) n❑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 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 (Name of Licensed Elect�ic Contractor) AND G Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested. 2) ❑Electric—Not Applicable because: `�J Blocks previously installed. u No outside lights. ❑Other ❑Install new or❑Replace gutters ❑Install new or❑Replace downspouts Other related work being done: (please note) Value of the job $ ��J � " � v`� (include fair market price for labor even if you are not paying for labor) 03/02 :