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� CITY OF OSHKOSH No 158144
�
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 202-208 E TENNESSEE AVE Create Date 10/08/2013
Project ROOFING BUILDING _ Project Number 0
Owner WILLO HOUSING CORP Plan
Contractor BOWMAN ROOFING
Inspector John Zarate
Designer
Category 041 -Residential Roofing Type of Plan
Zoning R-3 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
MULTI-FAMILY/TEAR OFF AND REPLACE EXISTING ON THE BUILDING ONLY-NO STRUCTURAL CHANGES "check#1383
I
!
- - - :
—
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,600.00 Plan Approval _ $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By:��� Date 10/08/2013 FinaUO.P. 00/00/0000
❑ Permit Voided'� Parcel Id# 1506380000
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 stand the afore mention fo ation.
Signature Date �� �a%�
AgenUOwner
Address 1417 WITZEL AVE#6 _Oshkosh WI 54902 - 0000 Telephone Number 233-7130
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.
Ciry of Oshkosh �
Inspection Services Division
P O Box 1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 O.IHKO.IH
F�:(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
I}'vou are a contractor narticipatinQ in the Permit fee Account Svstem and have adeauate funds check here
if vou want this nrocessed throuQh vour account n
JOB ADDRESS�Od2-D70� �jrJ/1J�r',s',s��r
O�i'NER ( C��QC'N�l�� l"/fI 1-S��/ c� �/�°LD
CONTRACTOR �d l.c.l/r?/,�/1�
I am the: ❑ Owner OR ❑ Contractor
USE CATEGORY
❑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)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) ❑ElecVic—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications aze being performed
by
(Nan�e of Licensed ElecUic Contractor)
AND ❑Electric Installation Verification form is attached OR �Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: G J Blocks previously installed. ❑No outside liglrts. C Other
❑Install new or❑Replace gutters
❑Install new or❑Replace dotinspouts
Other related work being done: (please note)
Value of the job $ �� �P ��..(J'(� (include fair market price for labor even if you are not paying for labor) 03/02