HomeMy WebLinkAbout0124465-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 124 W 23RD AVE
CITY OF OSHKOSH No 124465
BUILDING PERMIT -APPLICATION AND RECORD
Owner SANDRA L WERNER REV TRUST Create Date 04/27/2007
Contractor WERNER HOME IMPROVEMENTS LLC
Designer
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
. 0 C<:l~()r:>Y' __ .
o Fence
o Raze
___J
Zoning
Class of Const:
Size
Unfinished/Basement Sq. Ft.
Rooms
Height
Ft.
o Projecti~
Canopies
Finished/Living
Sq.Ft.
Sq. Ft.
Bedrooms
Stories
Garage
Baths
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy. Permit Not_Required
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature - SFR/ TEAR OFF AND REPLACE EXISTING ROOFING- ON HOUSE AND GARAGE, NO STRUCTURALCHANGES'
of Work
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HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valua~_;.:,:__:;..:__~'-~~~ Plan Approval
Issued By: ~/~
$0_00 Permit Fee Paid
$53.00 Park Dedication $O.Od
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Date 04/27/2007
FinaIfO.P. 00/00/0000
--.----.---..-
o Pe"!lit Voided I
Parcelld # 1402820000
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 work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to ecure y n ssary approva before starting such activity. . /
Signature Date Y ~ 1- 0 7
Agent/Owner
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, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless -specifiec;l otherwise, we will assume the projectis ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Roofing & Siding Permit Application
~
OfHKOJH
ON THE WATER
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
. . Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 pluS the
normal permit fee, which ever is greater.
OR .
If yOU are a contractor participatinf! in the Permit fee Account System and have adequate funds; check here
if you want thisvrocessed through your accountn
JOB ADDRESS
/) V W~.~ r'-J Ihf-
OWNER ~~ ~vl-P!l ~
CONTRACTOR . I~. ,'wtt I Il'utA7/11-ehl-~
Lie
I am the:
DOwner
OR
~ontractor
~;~~~ORY . 0 Duplex
Work "eing ~one:
ROOFING
o Multi-Family
o Rental
o Commercial
o Industrial
o Tear off and replace existing roofing on !KChouse, ~arage
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
layer(s) on 0 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:
. I) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alte~tionslmodifications are being performed
by .
(Name of LicellSCd Electric Contractor)
AND 0 Electric Installation Verification form is attached OR
o Separate Elect Permit wHl 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 $
~ fie),
61;
-
(include fair market price for labor even if you are not paying for labor)
03/02