HomeMy WebLinkAbout0125246-Building (roof)
e
OSHKOSH
ON THE WATER
Job Address 412 W 6TH AVE
CITY OF OSHKOSH No 125246
BUILDING PERMIT - APPLICATION AND RECORD
Owner CAROL S DERKSEN Create Date 06/08/2007
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
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
o Treated Wood
o Other
Occupancy Permit Not Required
Occupancy Fee
$0.00 Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature SFR / TEAR OFF AND REPLACE EXISTING ROOFING ON HOUSE ONLY, NO STRUCTURAL CHANGES
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Foes, v.[u.tiO~J-
Issued By:
Plan Approval
$0.00 Permit Fee Paid
$32.00 Park Dedication
$0.00
Date 06/08/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 0905430000
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 applicatio within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to se r y ne ssary a prov before starting such activity.
% ~.
Date (-J -8-2a:J
Signature
Address 412 W 6TH AVE
Agent/Owner
OSHKOSH
~ 54902 - 5914 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.
Ci!y of 0shkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
~
OfHKOfH
ON THF WATFR
. 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 vou are a contractor oarticipating in the Permit fee Account Svstem and have adequate funds. check here
if vou want this processed throu,?h vour account n
JOB ADDRESS 41~
OWNER C-Q.Y"Df
LJ ~/-tk. A ~
o -!L(". k..s e.v>
CONTRACTOR
I am the:
9( Owner
OR
o Contractor
.~E CATEGORY
ft Single Family
o Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
Work being done:
ROOFING
iT ear off and replace existing roofmg on JiDouse, 0 garage
o ReplaC\l wood decking
o Add I layer of roofing to the existing
This work is being done due to 0 Hail Damage
layer(s) on 0 house, 0 garage
~ther lJ.J-ea( I~<
SIDING
o Install siding on 0 house, 0 garage
o Replacing vinyl with vinyl
o Replacing steel or aluminum with vinyl (circle steel or aluminum)
o Replacing with
This work is being done due to 0 Hail Damage
o 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 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
Other related work being done: (please note)
Value ofthe job $
/,500, eO
.
(include fair market price for labor even if you are not paying for labor)
03/02