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Home My WebLink About0159039-Buildng (roof) � CITY OF OSHKOSH No 159039 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2117 OREGON ST Owner TIMOTHY W BLASKE Create Date 12/12/2013 Designer Contractor SECURITY-LUEBKE ROOFING INC Inspector Nicole Krahn Category 041 -Residential Roofing Plan Type � Building 0 Sign � Canopy � Fence � Raze __J Zoning R-2 Ciass 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 Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 Use/Nature SFR/Tear off and replace existing roofing on house and garage. No structural change. I of Work j I*Paid with check#15109 I : I — -- — — ---- � HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $10,110.00 Plan Approval $0.00 Permit Fee Paid $106.00 Park Dedication $0.00 Issued By: $S Date 12/12/2013 Final/O.P. 00/00/0000 ❑ Permit Voided'� Parcel Id# 1410190000 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 information. Signature Date AgenUOwner Address 820 HYLAND AVE KAUKAUNA WI 54130 - 1447 Telephone Number (920)766-7904 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 HK f 1 F�:(920)236-5084 ON THE WATFR 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 If vou are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here �vou want this processed throuQh vour account n JOB ADDRESS 2117 Oregon St., Oshkosh WI 54902 OWNER Tim Blaske ' CONTRACTOR Security-Luebke Roofing, Inc. I am the: O 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,�gazage ❑Replace wood decking ❑Add 1 layer of roofing to the existing layer(s)on O house,❑garage This work is being done due to�Hail Damage ❑Other SIDING ❑Install siding on ❑house, O 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 pedormed by (Name of Licensed Electric Contractor) AND u Electric Installation Verification form is attached OR G Sepazate Elect Permit will be requested. 2) ❑Electric—Not Applicable because: C J Blocks previously installed. ��No outside lights. �Other ❑Install new or❑Replace gutters ❑Install new or O Replace downspouts Other related work being done: (please note) Value of the job $ 10,110.00 (include fair mazket price for labor even ifyou are not paying for labor) 03/02 :