HomeMy WebLinkAbout0125276-Building (roof)
G
OSHKOSH
ON THE WATER
Job Address 704 DAKOTA ST
CITY OF OSHKOSH No 125276
BUILDING PERMIT - APPLICATION AND RECORD
Owner MICHAEUCYNTHIA LEIB Create Date 06/11/2007
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.
Sq.Ft.
Sq.Ft.
Rooms
Height
Ft.
o Projection I
Finished/Living
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 Not Required
Occupancy Fee
$0.00 Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature SFR / TEAR OFF AND REPLACE EXISTING ROOFING ON HOUSE ONLY, NO STRUCTURAL CHANGES
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation _ $4,000.00 Plan Approval
~,,",r\ (L
Issued By: CJ I 1 lfT
'"'
$0.00 Permit Fee Paid
$46.00 Park Dedication
$0.00
Date 06/11/2007
FinaIlO.P. 00/00/0000
o Permit Voided I
Parcel Id # 0602050000
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 ap rovals before rting such activity.
^" ?
....~/ ~..-
Signature /' I:-?' ~...".... - .
Agent/Owner
Date
~jh/a7
/ ,
Address 704 DAKOTA ST
OSHKOSH
WI 54902 - 5869
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
~
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 withoutpennit(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 particiDatinf! in the Permit fee Account System and have adequate funds; check here
if YOU want this processed through your account n
JOB ADDRESS -1 ot.\. D~~o-\o.. ~ C)..5; ~'cCJS;. ~
OWNER ""\61\.D-~ . \ L~\~
S;:-'- \C\. ~ ~
-
CONTRACTOR
I am the:
a.Owner
OR
o Contractor
USE CATEGORY
~ingle Family . 0 Duplex .
o Multi-Family
o Rental
o Commercial
o Industrial
Work ~eing ~one:
ROOFING
~ Tear off and replace existing roofing o~ouse, 0 garage
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
layer( s) onD house, 0 garage
SIDING
o Install siding on 0 house, . 0 garage
o Replacing vinyl with vii1y~
o Replacing steel or aluminum with vinyl (circle ste~l 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:
. I) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance altefC!.tions/modifications are being performed
by .
(Name of Licensed Electric Contractor)
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 of the job $ 4 C:f::)o
(include fair market price for labor even if you are not paying for labor)
03/02