HomeMy WebLinkAbout0123217-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 1503 W 9TH AVE
CITY OF OSHKOSH No 123217
BUILDING PERMIT - APPLICATION AND RECORD
Owner CHARLES R KARNS Create Date 01/18/2007
Designer
Contractor LUEBKE ROOFING
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canol?Y _
Class of Const:
o Fence
o Raze
Zoning
Size
Unfinished/Basement Sq. Ft.
Rooms
Height
Ft.
o Projection I
Canopies
Finished/Living
Sq.Ft.
Bedrooms
Stories
Signs
Garage
Sq.Ft.
Baths
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Not Required
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature SFR / TEAR OFF AND REPLACE EXISTING ROOFING ON HOUSE ONLY, NO STRUCTURAL CHANGES
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $7,752.00 Plan Approval
Issued By: ~U
$0.00 Permit Fee Paid
$74.00 Park Dedication
$0.00
Date 01/18/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1311080000
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.
Signature
Date
Address 2550 PROGRESS WAY
Agent/Owner
KAUKAUNA
WI 54130 - 0000 Telephone Number 766-9019
To schedule inspections please call the Inspection Request line at 236-5128 notil1g the Address, Permit Number, Type of
Inspection (Le. 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
POBox 1130
,,~ Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
JAN 1 G 2001
~
OfHKOfH
ON THE WATER
Roofing & Siding Permit Application
. Applicahon(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 varticivating in the Permit fee Account Svstem and have adequate funds. check here
if vou want this vrocessed through vour account n
JOBADDRESS_I.SCO U) C\\~ Si CF~k:..OS"h1 '00\ ~~cl
OWNER. C""o...Y\e~ ~l rT\ c::.
CONTRACTOR luebt.e R.~F{ ('''j ~ IC::<L\ q \
I am the: 0 Owner OR 9'Contractor
USE CATEGORY
o Single Family 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
"""
Work being done:
ROOFING
Js;tfear off and replace existing roofing on 9i'house, 0 garage
o Replace wood decking
o Add I layer of roofing to the existing
This work is being done due to 0 Hail Damage (J""'Other
layer(s) on CI house, 0 garage
SIDING
o Install siding on 0 house, 0 garage
o Replacing vinyl with vinyl
o Replacing steel or aluminum with vinyl (circle steel or aluminum)
o Replacing with
This work is being done due to 0 Hail Damage 0 Other
When siding is done, one of the boxes below must be checked:
1) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND 0 Electric Installation Verification form is attached OR
o Separate Elect Permit will be requested.
2) 0 Electric - Not Applicable because: 0 J Blocks previously installed. 0 No outside lights. 0 Other
o Install new or tJa1teplace gutters
o Install new or CI Replace downspouts
Other related work being done: (please note)
Value ofthej~b $'1, IS~---
(incluge fair market price for labor even if you are not paying for labor)
.-- 03/02