HomeMy WebLinkAbout2003-Building (roof) CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2210 ONTARIO ST Owner DAVID A/RONDA F HITZ
Designer Contractor OWNER
Category 141 - Exterior Remodeling
Type · Building (~ Sign O Canopy (~) Fence (~ Raze
Zoning Class of Const:
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft.
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories
Garage 0 Scl. Ft. Baths 0
Foundation · Poured Concrete O Floating Slab O Pier (~) Other
O Concrete Block O Post (~ Treated Wood
Occupancy Permit Not Required Flood Plain __ Height Perrait
Park Dedication # Dwelling Units 0 # Structures
No 103828
Create Date
Plan
Size
08/29/2003
[] Projection
Canopies
Signs
0
0
0
Use/Nature 3FP,/Tear off and replaCe existing roofing on house & garage.* NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
$3,700.00 Plan Approval
Plumbing Contractor
$0.00 Permit Fee Paid $35.00 Park Dedication $0.00
Date 08/29/2003 Final/O.P. 00/00/0000
[] Permit Voided [
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City ~Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
deschbed in thiS ¢ermit,~applicatien with n an easement, the City strongly urges the permit applicant to contact the easement
holder(s> and,~ecur~ ~my nece[ss~aty ~tpprovais before starting such activity.
Signature %(.~ ~-~/ Agen.Owoer Date
Address Oshkosh WI 54901 - 0000 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5'128 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
Fax: (920) 236-5084
Roofing & Siding Permit Application
O./'HKO./H
· Applicition(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 you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through 12our account ~
JOB ADDRESS
OWNER
CONTRACTOR
I am the:
[] Duplex
OR [] Contractor
[] Multi-Family El Rental
¢E CATEGORY
ngle Family
Work being done:
ROOFING
.~Tear off and replace existing roofing on ~Y~ouse, ~t~arage
[] Replace wood decking
[] Add 1 layer of roofing to the existing
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 FI Hail Damage [] Other
When siding is done, one of the boxes below must be checked:
l)
[] Commercial [] Industrial
layer(s) on [] house, [] garage
FI Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed t~lectric ConWactor)
AND ~ Electric Installation Verification fSrm is attached OR. [] S~arate Elect Permit will be requested.
2) [] Electric - Not Applicable because: ~ J Blocks previously installed, rn 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 $ ;~)~3 '~ (include fair market price for labor even if you are not paying for labor) 03/02