HomeMy WebLinkAbout0124013-Building (roof)
o
OSHKOSH
ON THE WATER
Job Address 11 JOHNSON AVE
CITY OF OSHKOSH No 124013
BUILDING PERMIT - APPLICATION AND RECORD
Designer
Owner DAVID E BUTZLAFF Cr ate Date 04/0212007
Contractor WERNER HOME IMPROVEMENTS LLC
Category
141 - Exterior Remodeling PI n
Type
. Building
___0 Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms Height Ft.
FinishedfLiving Sq. Ft. Bedrooms Stories
Garage Sq.Ft. Baths
Foundation . Poured Concrete 0 Floating Slab o Pier o Other
o Concrete Block o Post o Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures
~------ ---
D . Projection I
Canopies
Signs
o
UsefNature FR / TEAR OFF AND .REPLACE EXISTING ROOFING ON HOUSE AND GARAGE, NO STRUC1VRALCHA GES
of Work . "'i
HV AC Contractor
plumbing Contractor
Electric Contractor
Fees: Valuat~__~ _~.!.~60,OQ Plan Approval
Issued By: -O-tYJI ~
$0.00 Permit Fee Paid
$53.00 Park De ication
~._--~,--_.__.-
$0.00
Date 04/0212007
FinaI/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1416670000
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 ease ent
holder(s) and to se re ny cessary approv Is before starting such activity.
Dat
</2-01
Signature
AgenUOwner
Address 2147 POINT COMFORT RD OSHKOSH
WI 54902 - 7513 Telephone Number 236-9109
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), y ur Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is r ceived. Work may
continue if the inspection is not performed within two business days from the time the project is rea y.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
check here
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Servi. es, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being dou led or $100.00 plus the
normal permit fee, which ever is greater.
OR
1 .ou are a contractor artici atin in the Permit ee Account S stem and have ade u
if you want this lJrocessed throu1!h your account n
CONTRACTOR
JOB ADDRESS
OWNER
I am the:
o Owner
OR
q{Contractor
P$E CATEGORY
~ Single Family . 0 Duplex
o Multi-Family
o Rental
o Commercial
Industrial
Work being ~one:
ROOFING
)( Tear offand replace existing roofing on mouse, "Q-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
laYj(S) onO house, 0 garage
SIDING
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)
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:
1) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alte~tionslmodi cations are being performed
by .
(Name of Licensed Electric ConlraClor)
AND 0 Electric Installation Verification form is attached OR
o Separate Elect ermit WIll 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 $
L/J> fe(). ~.
(include fair market price for labor even if you are not paying r labor)
03/02