HomeMy WebLinkAbout0124880-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 1570 MARICOPA DR
CITY OF OSHKOSH No 124880
BUILDING PERMIT - APPLICATION AND RECORD
Owner MICHAEL MUSSEN Create Date OS/21/2007
Designer
Contractor ACCURATE ROOFING
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.
D 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
o Treated Wood
o Other
Occupancy Permit
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature 'SFR / Tear off and replace roof on house and garage.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$6,850.00 Plan Approval
O/Jrv]~
$0.00 Permit Fee Paid
$67.00 Park Dedication
$0.00
Issued By:
Date OS/21/2007
FinaIlO.P. 00/00/0000
D Permit Voided I
Parcelld # 1319890000
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 necessap) ap~rovals before starting such activity. _~ /
Signature--Z ~ ~ ~~ Date ,If2t 1Cf7
Agent/Owner
Address
1011 KANSAS ST
OSHKOSH
WI 54902 - 0000
Telephone Number
303-1897
(
TOI 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
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
lIyou are a contractor particitJatinf! in the Permit fee Account System and have adeouate funds, check here
il you want this processed throuf!h your account n
I am the:
ls70 m A~fCOL)q. 5f .
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vn i /C~ . r..JuS~~
.ACLu(Z,!~.:-C-( ~ tV ,
o Owner OR ~tractor
JOB ADDRESS
OWNER
CONTRACTOR
U~TEGORY'
,~ Single Family 0 Duplex
Work ~eing ~one:
ROOFING
~ffand replace existing roofing o~e,~e
o Replace wood decking
o Add I layer of roofing to the existing
This work is being done due to 0 Hail Damage 0 Other
o Multi-Family
o Rental
o Commercial
o Industrial
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 stefi:1 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 alterations/modifications are being performed
by .
(Name of Licensed Electric Contractor)
AND 0 Electric Installation Verification form is attached OR
o Separate Elect Permit wtll 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
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Other related work being done: (please note)
Value of the job $
.c'o, ~50,oo
f
(include fair market price for labor even if you are not paying for labor)
03/02