HomeMy WebLinkAbout0124065-Building (roof)
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ON THE WATER
Job Address 613 E NEW YORK AVE
CITY OF OSHKOSH
No
BUILDING PERMIT - APPLICATION AND RECORD
Owner DAVID S TOMAN
Designer
Contractor HICKEY ROOFING
CFD~
PI n
Category
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
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Finished/Living Sq.Ft. Bedrooms Stories Canopies
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Garage Sq.Ft. Baths Signs
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Foundation . Poured Concrete 0 Floating Slab o Pier o Other
o Concrete Block o Post o Treated Wood
Occupancy Permit Flood Plain Height Permit
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Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature SFR / Tear off and replace upper lower shingled roof only. "DEBIT ACCl".
of Work
HV AC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,280.00 Plan Approval $0.00 Permit Fee Paid $32.00 Park Oed ication $0.00
Issued By: ~ Date 04/03/2007 Final/O.P. 00/00/0000
o Permit Voided I Parcelld # 1108710000
In lhe ,.rtonnan", of lhls wo", I ag... to perioon all WOO< p"""ant to ",~s govem'ng lhe de"",ibed oons,",eIlon. l
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the. ork
des"'bed in this penn" app'loa'on wilh;n an ....ment, lhe Clty s1ron~y "_ lhe pennit applicant to rontad lhe eaient
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1427 BROAD ST OSHKOSH WI 54901 - 3047 Telephone Number 426-4008
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To schedule ins ections lease call the Ins ection Re uest line at 236-5128 notin the Address Perr lit Number T eof
141 - Exterior Remodeling
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Inspection (I.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), ybur Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is rJlceived. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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City ofO~hkosh
Inspection Sl;:rvice~ Division
POBox. 1130
Oshkosh, WI 54903.11.30
Pbone: (920) 236-5050
Fax.: (920) 236.5084
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Roofing & Siding Permit Application j'lI!'fl"i' W (;!K
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Servic s, PO Box 1128,
Oshkosh WI 54903":1128. Commencing work 'Without pennit(s) win result in fees being doubl~d or $100.00 plus the
normal permit fee, which CVer is greater.
OR
If vou <11"" a conrractnr oarticiDatir1tlin the PermiCfee Account (iJ1stem and !la'll'" ade
ii.-J1ou lvant thL~ oroce.ued rhrQ"uJ!h vour account n
un4.E.. check here
JOB ADDRESS . If /3 [ r~?, K- ~
OWNER &~W~
CONfRAcrOR L...H C~ If!tn')
I am the: 0 Owner OR ~tractor
1-
~E CATEGORY
( a Single Family 0 Duplex 0 Multi-Family
Work belnA done;
ROOFING
~aJ' off and replllCC existing roofing Or;lhOU~c., 0 garage
o Replace wood decking
IJ Add 1 lllyer of roofing to tbe existing
This work is being done due Lo 0 H.~jl Dalmge 0 Other
o Renlal
o Commercial
o I.ndustrial
~ bfld~ ffi~:j
_"",*)~Oho....tl_", ~ ~--
SIDING
fJ Install sidIng 0)1 0 house, 0 811,TlI,ge
o Replllcing vinyl with vinyl
o Replacing steel or aluminuln with vinyl (circle sleel or aluminum)
o Replacing with
This work iA being done due to 0 Hail Damage 0 Other
When siding is done, one of the boxes below must be cheCked: I... .
I) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance altemtio,ns/modifieatiioflS are being performed.
hy (Nacie tlCLiO!nJ;C<i EI.~trie Contmclor) I . .
~~I1 "FJoobiol...u"i.. y,m-..,"" fonn '..Mod OR : s.p...to moot 'ltwill ho "..,,;,d
g ~~: ~~ ~ ~oo;~;~;:::' ,-,,, rll Bw~. ,revio"~ i~_~ - No "'m ligh. n O~<< I Lj 0 w :5
Other related work being done: (please note) L J ')
1
ValueOffhe,job$laE"(? to
(include fair 1U1lrket price for labor even if you arc not paying for I or)
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