HomeMy WebLinkAbout0123731-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 529 ALGOMA BLVD
CITY OF OSHKOSH No 123731
BUILDING PERMIT - APPLICATION AND RECORD
Owner STAR PROPERTIES OF OSHKOSH LLC Create Date 03/07/2007
Designer
Contractor OWNER
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy o Fence o Raze
Class of Const: Size
Rooms Height Ft. D Projection I
-
Bedrooms Stories Canopies
-
Baths Signs
Zoning
Unfinished/Basement
Sq. Ft.
Finished/Living
Sq. Ft.
Sq.Ft.
Garage
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature Duplex / Tear off and replace roof on house.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
$2,000.00 Plan Approval
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$0.00 Permit Fee Paid
$32.00 Park Dedication
$0.00
Fees: Valuation
Issued By:
Date 03/07/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 0102980000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 se ure any ssary approvals before starting such activity.
. ,c ?L
Agent/Owner
Date
,~/~/1J_7
Signature
Address 3623 HICKORY RIDGE RD
OSHKOSH
WI 54904 - 7791 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting 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.
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Roofing & Siding Permit Application
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OJl-1KOfH
ON THE WATER
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
· 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
lfvou are a contractor varticipatinf! in the Permit fee Account Svstem and have adequate funds. check here
ifvou want thisTJrocessed throuf!h vour account n . .
JOB ADDRESS 5 J 9 A I ~ e:. W\. fA.
OWNER S',Qr fee f(e:....h'c... ~ I L (,. C
CONTRACTOR S Co. t P-
I am the: )tOwner S' OR 0 Contractor
USE CATEGORY
o Single FamiIY.Bn~plex .
o Multi-Family
o Rental
o Commercial
o Industrial
Work being ~one:
ROOFING
XTear off and replace existing roofing on)Q:ouse, 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 p\" Other
SIDING
layer(s) onO house, 0 garage
?~ j' Ie.. CoO
o Install siding on 0 house, . 0 garage
o Replacing vinyl with vinYl
o Replacing steel or aluminum with vinyl (circle ste~l or aluminum)
D. 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 alterqtionslmodifications are being performed
by .
(Name of Licensed Electric Contractor)
AND 0 Electric Installation Verification form is attached OR
o Separate Elect Permit wJ1l be requested.
. 2) 0 Electric':"" Not Applicable because: 0 J Blocks previously installed. 0 No outside lights. 0 Other
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o Install new or 0 Replace gutters
o Install new or 0 Replace downspouts
Other related work being done: (please note)
Value of the job $ t) D fI c::. --
. . (include fair market1'rice for labor even if you are not paying for labor)
03/02