HomeMy WebLinkAbout0123943-Building (roof)
G
OSHKOSH
ON THE WATER
Job Address 167 BROCKWAY AVE
CITY OF OSHKOSH No 123943
BUILDING PERMIT - APPLICATION AND RECORD
Designer
Owner STEVEN W/JOAN A HABECK Cr ~ate Date 03/27/2007
Contractor HICKEY ROOFING
Category
141 - Exterior Remodeling PI n
Type
. Building
o Sign
o Canopy
o Fence
o Raze
I
Zoning
Class of Const:
Size
..,
Unfinished/Basement Sq. Ft.
Rooms
Height Ft.
o Projection I
Finished/Living
Sq.Ft.
Bedrooms
Stories
Canopies
Garage
Sq.Ft.
Baths
Signs
Foundation . Poured Concrete 0 Floating Slab o Pier o Other
o Concrete Block o Post o Treated Wood
Occupancy Permit Flood Plain Height Permit
-
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature SFR / Tear off and replace roof on house and garage. "DEBIT ACCT....
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$6,022.00 Plan Approval
Wnvo
$0.00 Permit Fee Paid
$67.00 Park Oed ation
$0.00
Issued By:
Date 03/27/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1401730000
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) and to secure any necessary approvals before starting such activity.
Signature
Date
Address 1427 BROAD ST
Agent/Owner
OSHKOSH
WI 54901 - 0000 Telephone Number 426-4008
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), yo r Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is ree eived. Work may
continue if the inspection is not performed within two business days from the time the project is read .
Roofing & Siding Permit Application
i
City ofOshko~h
Jnspcc,tion Service!: Division
PO.9ox lf30
Oshkosh, WI 54903-1130
Phone~ (920) 236.5050
fl'lx: (920) 236-5084
· Application(s) and fee(s) can be brought to. City Hall, Room 205 or mailed to Inspection Servi es, PO Box 1128,
O~hkosh Wl 54903-1128. Commencing work without pennit(s) will result in fees being dou led or $JOO.OO plus thu
normal permit fee, which ever is greater.
OR
!f...YOll are a cor/Jractor Darticiparinrz in thLPermi.tJee Aqcount $
i.f..JLaJL want this "roces.u~d throurzh your account n
I am the:
DOwner
.JOB AI>DIU:SS
OWNER
CONTRACTOR
~u CATEGORY
Single Family 0 I)1Jplex.
.. Work being don.:
ROOFING
~ear OffS.lld repls.cc existing .roofing~S~age
o Replace wood decking
o Add ll:!yet of roofln.s to tlle exi~ting
This work .is 'beitlg done due to 0 Hail Damagc
o Multi-Family
DROllt..'\!
o C..ommercial
Indu~trial
laycr(s) on 0 house, 0 garage
o Othor
SIDING
o Install ~iding on 0 house, 0 garaElc
o R.cplacing vinyl with vinyl
o Rcplacing steel oralnm.iullm with vinyl (circle slecl nl' aluminnm)
o Replacing with
This work is 'being done due lQ 0 Hail Damage 0 Other
When siding is done, one of tbe boxes below must be checked:
.\ ) 0 Electric .~ Exi~ting ElectOc Metcr, receplac.lo, lighting and Electric Service entmnce llltemtioJls/modifica ions arc h...,ing pcrformed
by
(Nnnr: (I{ UCOlllCd F.lectrlc C""tl1lcfor)
8l:iQ ::J Elect.ric InMa.l1atJon Verification fonn jg attached PB,
: Separate Elect P 't will be reque~tcd.
2) 0 Electric - Not Applicable 'because: rl.l Blocks previously i.nstalled. - No oUI~idc lighls. n Other
o Jnstall new ar 0 Replace gutters
o InRtall new or 0 Replace d.OWl1~pOUts
1]" v\- I)
l~ "J\~'1\V
Other related work being done: (please note)
Value oftbeJOb$& ;-0 d-6 .
(include fair market prlee for labor even if you art;: not paying for Is. or)
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