HomeMy WebLinkAbout0123775-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 1220 S WESTHAVEN DR
CITY OF OSHKOSH No
123775
BUILDING PERMIT - APPLICATION AND RECORD
Owner ROBERT J HEUN Create Date
03/12/2007
Designer
Contractor IMPRESSIVE ROOFING AND SIDING INC
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
U nfi nished/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 !SFR / Tear off and replace roof on house. **DEBIT ACCT**.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
$5,667.07 Plan Approval
$0.00 Permit Fee Paid
$60.00 Park Dedication
$0.00
Fees: Valuation
Issued By:
~
Date 03/12/2007
Final/D.P. 00/00/0000
D Permit Voided I
Parcelld # 1312250000
.
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 secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 2786
APPLETON
WI 54912 - 2786 Telephone Number 232-1669
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 F'hone
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.
Ma~ 2104 03:161"
Oshkosh Inspectlons
920.-236 - 5084
p. 1
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax; (920) 236-5084
~
OfHKOfH
ON THE WATER
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
f ou are a contractor artic! atin in the Permit ee Account S unds check here
ou want this rocessed thrall h our account
JOB ADDRESSJ;) d- 0 S. Wes.-t ha \J Q..r\
OWNER 60b 1::\ au '"
CONTRACTORJ f)\ pr~ :::s l t).{
Dr
I am the:
DOwner
aoo-nh9 i-s'iC)ing
OR 18( Contractor
USE CATEGORY
~Single Family 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
Work being done:
ROOFING
cg Tear off and replace existing roofing on ~house, 0 garage
o Replace wood decking
o Add I layer of roofing to the e~isting
This work is being done due to 0 Hail Dam;'ge
layer(s) on 0 house, 0 garage
o Other
SIDING
o Install siding on 0 house, 0 garage
o Replacing vinyl with viilyl
o Replacing steel or aluminum with vinyl (circle steel or aluminum)
o Replacing with
This work is being done due to 0 Hail Damage
o Other
When siding is done, one of the boxes below must be checked:
I) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications arc being performed
by
(Name of Licensed Electric Contractor)
AND 0 Electric [nstallation Verification Conn is attached OR 0 Separate Elect Permit will be requested.
2) 0 Electric - Not Applicable because: 0 J Blocks previously installed. 0 No outside lights. 0 Other
.-,S
.1')1
\
~Install new or 0 Replace gurrers
~ Install new orO Replace downspouts
Other related work being done: (please note)
Value ofthe job $ Sl \>lo 1. DJ
(include fair market price for labor even if you are not paying for labor)
03/02