HomeMy WebLinkAbout0103910-Building (rebuild roof)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
No 103910
Job Address 2128 JEFFERSON ST
Designer
Category
Type
Zoning
141 - Exterior Remodeling
· Building (~) Sign
Unfinished/Basement 0 Sq. Ft.
Finished/Living 0 Sq. Ft.
Garage 0 Sq. Ft.
Foundation · Poured Concrete (~ Floating Slab
(~ Concrete Block (~) Post
Occupancy Permit
Park Dedication
Owner LORI KLICKO
Contractor PAUL KOWALSKE ROOFING
(~ Canopy (~ Fence
Class of Const:
Rooms 0 Height
Bedrooms 0 Stories
Baths 0
O Pier (~ Other
O Treated Wood
Flood Plain
# Dwelling Units 0
Raze
Create Date
Plan
09/03/2003
0 Ft.
Size
[] Projection
Canopies
Signs
Height Permit
# Structures 0
Use/Nature
of Work
;FPJ Remove existing roof and rebuild a pitched roof with trusses.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
$9,000.00 Plan Approval
Plumbing Contractor
$0.00 Permit Fee Paid $60.00 Park Dedication $0.00
Date 09/04/2003 Final/O.P. 00/00/0000
[] Permit Voided I
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) ar¢l to~;ur~ny-'~cessary approvals before starting such activity.
Signatu¢~~ ~ /~'~,~ ~ wn Date
Address 1320 COLUMBIA Oshkosh Wi 54901 - 0000 Telephone Number 920-233-4695
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
Fax: (920) 236-5084
Building Permit Application
O/HKO/H
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through Four account N
OrtNER
I am the: ~)~wner OR ~Contractor
E CATEGORY
ingle Family l-IDuplex F1Multi-Family F1Rental V1Commercial [3Industrial
Work being done: [] Addition
[] External Remodeling
[] Handicap Ramp
[] Sign/Canopy/Awning
[] Deck/Porch/Patio
[] Fence/Hedge/Kennel
[] Hot Tub/Spa
[] Stair/Handrail
U Swimming Pool ~- [] Wrecking Permit
[] Driveway/Parking
E Garage/Utility Structure
U Internal Remodeling
[] Stove/Fireplace
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
· :' Full description of work being done:
Any work not included in this application is not permitted.
Value of the job $ .~.///f~/~ ~ (Va~uef~rmateria~sa~d~ab~risrequiredt~ensurec~nsistencyinac~essingpermitfeesf~ra~~
applicants.)
PLEASE READ, SIGN, & DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
lease print
Signature:
Date: f'~ ,- 2 7'
s/o2