HomeMy WebLinkAbout0125400-Building (roof)
.
OSHKOSH
ON THE WATER
Job Address 2013 DOTY ST
CITY OF OSHKOSH No 125400
BUILDING PERMIT - APPLICATION AND RECORD
Owner CALVIN M SEIBERLICH JR Create Date 06/19/2007
Designer
Contractor HICKEY ROOFING
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Finished/Living
Sq.Ft.
Sq. Ft.
Sq.Ft.
Rooms
Height
Ft.
D Projection I
Unfinished/Basement
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 Fee
$0.00 Flood Plain
Height Permit
Occupancy Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature SFR / Tear off and replace roof on house (2 building). **DEBIT ACCT**.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$7,996.00 Plan Approval
~
$0.00 Permit Fee Paid
$74.00 Park Dedication
$0.00
Issued By:
Date 06/19/2007
FinallO.P. 00/00/0000
D Permit Voided I
Parcelld # 1400700000
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
Date
Address 1427 BROAD ST
Agent/Owner
OSHKOSH
WI 54901 - 3047 Telephone Number 426-4008
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.
l PLvA aclUA:Ijr()r') ~f-
City of O!:hkosh
Inspection Services Division
pOBox 11:30
O:;;hkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
2/ It/or).
Roofing & Siding Permit Application
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1 am the: [J Owner OR ~onttactor
r;Ap~~:;ORY 0 l)upl~ 0 M.Iti-P.m;ly
Work being done:
ROOFING
~Cll.\r off and replacc c,Q ~ting roofillg on y{ house. D garllge
o Replace wood declcing ( .
CI Add I layer ofmofing to the cxi!Oting
T"i~ work is beiJlg done due to 0 Hail Damage 0 Othcr
o Rental
o Commercial
o lndu!ll:rial
(3-~/b?'i0
lllycr(~) on 0 house, 0 gnmge
SIDING
o In~tc\l1 sidi,lg on 0 bou~c, 0 garage
CJ Replacing vinyl with vinyl
o Replncing steel Of aluminum with vinyl (circle steel or aluminum)
o Replllcing with
This work i!O being dQ{le due to Cl HlIil Damage 0 Other
When sidjn~ is done,one of the boxes below must be checked:
1) 0 Electric _ Exi~tins Electric Meter, receptacle, lighting ood Electric Service cntronce alte.-ationslmodifica.tians are being pcrformod
by
(Nome <,fL;c~:ttdmcClric C("Jntm"'orY-
~ U Electric ITJ:'llallation Verification form is at1ached QR U Separate Elect Permit will be reqllc~tcd.
2) 0 Electr;c _ Not Appliell.hle bocausc; U.T Blocks prcvjou~ly installed. U No outside lights. J Other -.-
Other related work being done: (please note)
,. ~rf)
ld-~
o Instlll1 new or 0 Replace gulters
Clln~tllll new or 0 Replace dowJl!Opouts
Value ofthe,iob {)/ q q~.. tV "
(include fair market price for lal:m even if you are not paying for labor)
03/02
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