HomeMy WebLinkAbout0124449-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 15 W SOUTH PARK AVE
CITY OF OSHKOSH No
124449
BUILDING PERMIT - APPLICATION AND RECORD
Owner BRIAN A PRIBBERNOW Create Date
04/27/2007
Designer
Contractor OWNER
Category
141 - Exterior Remodeling Plan
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
Occupancy Permit
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature SFR / Tear off and replace roof on garage. Letter of consent by owner to have Robert Pribbernow take out permit.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$500.00 Plan Approval
~~
$0.00 Permit Fee Paid
$25.00 Park Dedication
$0.00
Issued By:
Date 04/27/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 0304100000
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 secure any necessary approvals before starting such activity.
Signature ~ I./~ Datel(""P.?-C>")
Agent/Owner
Address
15 W SOUTH PARK AVE
OSHKOSH
WI 54902 - 0000
Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is 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
~
OJHKOfH
ON THE WATER
.t..- ~
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 .
Ifvou are a contractor DarticiDatinrr in the Permit fee Account System and have adequate funds. check here
ifvou want this Drocessed through your account n
JOB ADDRESS J <:; \ A.') ~d:VY\.. 0",,(; \ "-
OWNER ~';.~ Cis'I'. Q~ '0 'o~~erv0
CONTRACTOR
I am the:
B10wner
OR
o Contractor
USE CATEGORY
III Single Family . 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
Work ~eing ~one:
ROOFING
iii Tear off and replace existing roofing on 0 house, "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
layer(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~1 or aluminum)
D. 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 altexqtionslmodifications are being performed
by .
(Name ofLiceosed Electric Contractor)
AND 0 Electric Installation Verification form is attached OR
o Separate Elect Permit 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
J(~eit
,i
Other related work being done: (please note)
Value of the job $ 5tJ(j. rn
(include fair market price for labor even if you are not paying for labor)
03/02
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