HomeMy WebLinkAbout0124173-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 625 W 11TH AVE
CITY OF OSHKOSH No 124173
BUILDING PERMIT - APPLICATION AND RECORD
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Owner MARK/STEPHANIE M LATTERY Create Date 04/11/2007
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Designer
Contractor HICKEY ROOFING
Category
141 - Exterior Remodeling Pli:m
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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 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 0
Use/Nature FR / TEAR OFF AND REPLACE EXISTING ROOFING ON GARAGE ONLY, NO STRUCTURAL CHANGES **debt acct
of Work
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Plumbing Contractor
HV AC Contractor
Electric Contractor
$25.00 Park De~ication
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Date 04/11/2007 I Final/O.P. 00/00/0000
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$0.00
Fees: Valuation $1,000.00 Plan Approval
Issued BY:~ \.JJ
$0.00 Permit Fee Paid
o Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction. I
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the !work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easen?ent
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date'
Agent/Owner
Address
1427 BROAD ST
OSHKOSH
WI 54901 - 3047
Telephone Number
426-4008
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To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), yc!mr Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is r~ceived. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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Roofing & Siding Permit Application
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City of Osbko~h
Inspection Services Division
POBox 11.30
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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. AppHcation(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Servicc~, PO Box. 1128,
Oshkosh WI 54903-1128. Commencing work without pennit($) will result in fees being double~ or $ J 00.00 plus the
nonnal permit fee, which ever Is greater. '
OR . . I
If vou are a contraCtor oarticiDatin1! in the Permit fee Account System and have ade<Luate (und,t,~bes,k-hfl..re
i fy ou w. WJ.1..J.bj.1LP_t:2.5;'~J....ttt d t h r 0 u g It vo U/- a c co un t n
.JOBADDRESS &~5 tJ. //~t2H
OWNER.~ft~U ~. i
co",~croa. ... C ---- ).h d4; 7J '3 ~
r am tbe: CJ Owner OR ~ontIactor ·
'~CATEGORY
~ Single Famj~y o Ouplcx
Work being done:
. '.:::~""''''" "'..... ~fi". '" Dh....y......
~ :~Plnce wood decking
[J Add I layer ofroofmg to the existing
This work is being done due to 0 Hail Damage
o Multi-Family
o Rental
o Commercial
o Industrial
layer(s) on 0 house, 0 garage
D Other
SIDING
o Jll!ltall siding on 0 housc, 0 garagc
o Replacing vinyl with vinyl
D Replacing steel or aluminum with vinyl (circle steel or aluminum)
o Rcplacing with
This work is being done due to D Hail Damage 0 Othcr
When siding is done, one ofthe boxes below must be checked: ,
I) D Eleetr.ic - Existing Eleetric Meter, receptacle, lighting and f.1.lccmc Serviec entrance altcrntionsfmodificatihns arc being T'erfonncd
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(Mamo DC Liec:n5ed Elocrnc Conlmetor) I
AND :J Bk:etrie Installation Verification fOnTI is at.t3ehcd Q.R. : ScraI1lIc:.Blcct Pcnn~t will bc .rcqtICslc:d..
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2) 0 Electric - Not Applicable bccau!;le~ n J .Blocks prcvi01.ls1y inst.a11cd. - No outside lights. n Othcr
o Install new or 0 Replace gutters
o Install new or 0 Replace downspouts
Other related work being done: (plea.se note)
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Value of the Job "$/, tJOO,'"diJ
(include fair market price for labor even jfyou arc not paying for la~or)
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03/02