HomeMy WebLinkAbout0123984-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 1904 WILSON AVE
CITY OF OSHKOSH No 123984
BUILDING PERMIT - APPLICATION AND RECORD
Owner DONALD F DIEDRICH C ate Date 03/29/2007
Designer
Contractor HICKEY ROOFING
Category
141 - Exterior Remodeling PI n
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement Sq. Ft.
Rooms
Height
Ft.
o Projection I
Finished/Living
Sq.Ft.
Sq. Ft.
Bedrooms
Stories
Canopies
Garage
Baths
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
C'l ~ l ,
Occupancy Permit Not Required
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
UselNature SFR / TEAR OFF AND REPLACE EXISTING ROOFING ON HOUSE (UPPER), NO STRUCTURAl-:.c:MANGES **debt acct
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $2,708.00 Plan Approval
Issued By: %-YY\ll_)
$0.00 Permit Fee Paid
$39.00ParkDed ation
$0.00
Date 03/29/2007
Final/D.P. 00/00/0000
---
o Permit Voided I
Parcelld # 1211950000
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
AgenVOwner
Address 1427 BROAD ST
OSHKOSH
_ WI 54901 - 0000 Telephone Number 426-4008
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Perm t 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 .
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City of Oshkosh
Inspectio'n Services Division
POBox 1130
Oshkosh, W.r 54903.1130
Phone: (920) 236-5050
Fax: (920) 236-5084 .
Roofing & Siding Permit Application
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Servic s, PO Box 1128,
OshkoshWI 54903.1128. Commencing work without permit(s) will result in fees being doubl d or $100.00 plus the,
normal permit fee, which ever is greater.
OR
I[YQ7~....l,re a contractor:...JJJ,]rtici olin in the Pe mil ee Account S sle
if yOU want !l1L~ "r()ce.9sed throf./J!b-.-Y..Qllr account 0
.JOB ADDRESS
;t:?ot!
DrJn
C,.
Zd)/~
Ll.d rJ~
~
OWNER,
CONTR~CTOR
r am the:
DOwner
~CATEGORY
/ Single l'amily D Duplex
Work being done:
ROOFING
~earoffandrePlaco existing motingo~se, 0 garage
D Replace wood decking
o Ad<l 1 layer of,rooting tolhe existing
Thi~ work is being done due to 0 ~il Damage
o Multi-Family
o RenW
~
o Commercial
o d.ust.ri~l
nOther
layer(s) on 0 house, 0 garage
SIDING
o I.nsla]] siding on 0 hcu~e, 0 garage
o Replacing vinyl wilhvinyl
o Replaci.ng s\.eel or aluminum with viny,l (circlc steel or aluminum)
D Replacing with
This work is being do.ne duc 10 D Hall Damage 0 Other
When siding is done, one of the boxes below must be checked:
I.) 0 Elcctric - .Bxi~ting Electric Meter, receptacle.. lighting and Electric Serviee cn!ra.nce alterations/modificati n~ arc being pcri'onned.
by
(Nnmo cH.iC<lll.'led ElC!ctrlc COIlIl'BClor)
Atm :r Electric Instnllation Verification fonn i~ aUachcd QR
2) 0 ,Electric ." Not Applicable bCCa\15c:. n .I I3lcckA previously installed. - No outside lights. n Other
:: Separate Elect Penn t will be rc'lue~lcd.
(D Install new or 0 Replace guttcni
D InstoJI new or t:I Replace downspuuts
Other related work being done: (please note)
Value "ftbe job $ · ~ 7 () t: 00 (;,,,""" "'. morl<<' prire ." lobo, "'''' u,oo 'M" P""" ,,, I.
03/02