HomeMy WebLinkAbout0123952-Building (roof)
CITY OF OSHKOSH No 123952
o
OSHKOSH
ON THE WATER
Job Address 123 W 22ND AVE
BUILDING PERMIT - APPLICATION AND RECORD
Designer
Contractor DNR ENTERPRISES INC
Owner ELLAMAE COUNTS Cr ate Date 03/27/2007
Category
141 - Exterior Remodeling PI n
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Unfinished/Basement
Sq. Ft.
Sq. Ft.
Height
Ft.
Rooms
Finished/Living
Bedrooms
Stories
Garage
Sq. Ft.
Baths
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
Use/Nature FR / Tear off and replace roof on house.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $4,800.00 Plan Approval
Issued By: ~
$0.00 Permit Fee Paid
$53.00 Park Dedi
Date 03/27/2007
D 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 ork
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easem nt
holder(s) a any ne ssary a rovals before starting such activity.
Signature
Date
Address 1434 HAZEL ST
Agent/Owner
OSHKOSH
WI 54901 - 0000 Telephone Number 920-236-9253
Size
D Projection I
Canopies
Signs
o
tion
$0.00
Final/O.P. 00/0010000
Parcelld # 1402580000
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Per it Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), yo r Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is re eived. Work may
continue if the inspection is not performed within two business days from the time the project is read .
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
~
ifHKOfH
ON THE WATER
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Se ces, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpermit(s) will result in fees being dou led or $100.00 plus the
normal permit fee, which ever is greater.
OR
I .ou are a contractor artici atin in the Permit ee Account S stem and have ade u check here
if you want this processed through your account n
JOB ADDRESS
OWNER
CONTRACTOR
S-2--S
I am the:
DOwner
OR )j1Contractor
USE CATEGORY
. ~ngle Family . 0 Duplex
o Ml.lIti-Family
o Rental
o Commercial
Work being ~one:
ROOFING
~ar off and replace existing roofing otQ].ouse, 0 garage
o Replace wood decking
o Add 1 layer of roofing to the existing
This work is being done due to 0 Hail Damage 0 Other
layer(s) onO house, 0 garage
SIDING
o Install siding on 0 house, . 0 garage
o Replacing vinyl with vinyt
o Replacing steel or aluminum with vinyl (circle ste<<;1 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:
Industrial
(Name ofLiccnsed Electric Contractor)
AND 0 Electric Installation Verification form is attached OR
. 1) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alte~tionslmodifi ations are being performed
by .
o Separate Elect P rmit wm be requested.
. 2) 0 Electric':"" Not Applicable because: 0 J Blocks previously installed. 0 No outside lights. 0 Other
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 $
Iff f()
. (include fair market price for labor even if you are not paying fa labor)
03/02