HomeMy WebLinkAbout0124960-Building (roof)
o
OSHKOSH
ON THE WATER
Job Address 109 N LARK ST
CITY OF OSHKOSH No 124960
BUILDING PERMIT - APPLICATION AND RECORD
Owner DOUGLAS L GOBLE Create Date OS/24/2007
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.
Bedrooms
Stories
Canopies
Garage
Sq. Ft.
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 SFR / TEAR OFF AND REPLACE EXISTING ROOFING ON HOUSE AND DETACHED, NO STRUCTURAL CHANGES
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuatio
$0.00 Permit Fee Paid
$25.00 Park Dedication
$0.00
Issued By:
Date OS/24/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 0609130000
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~mit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to'sJ'lture.any neces ry approvals before starting such activity. .), /
Signature // .L Date s: I 2-</ / a "7
Agent/Owner
Address
109 N LARK ST
OSHKOSH
WI 54902 - 4262
Telephone Number
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 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
~
OfHKOfH
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
lfvouare a contractor particivatinf! in the Permit fee Account Svstem and have adequate funds. check here
if vou want thisvrocessed throuf!h your account n
JOBADD~ 109 )VI ~
,OWNER ' .L)~ t;] ~/.. ~.
CONTRACTOR
S. ;> ,-,.....
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C)c;(
w/r
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I am the:
~wner
OR
o Contractor
USE CATEGORY
~,ingle Family . 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
Work being ~one: \- ~
R?OFING. o.~ OJ .
;a:Iear off and replace existing roofing o~ouseAgarage
o Replace wood decking
o Add 1 layer of roofing to the existing layer(s) onO house, 0 garage
This work is being done due to 0 Hail Damage 0 Other
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)
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 Liceosed Electric Conlractor)
AND 0 Electric Installation Verification form is attached OR
o Separate Elect Permit wm 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 ofth~job $ ,{(}if{)r(10
(include fair market price for labor even if you are not paying for labor)
03/02