HomeMy WebLinkAbout0125418-Building (roof)
o
OSHKOSH
ON THE WATER
Job Address 1926 DELAWARE ST
CITY OF OSHKOSH No 125418
BUILDING PERMIT - APPLICATION AND RECORD
Owner PATRICIA A EVERTS REV TRUST Create Date 06/20/2007
Designer
Contractor HICKEY ROOFING
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy o Fence o Raze
Class of Const: Size
Rooms Height Ft. o Projection I
Bedrooms Stories Canopies
-
Baths Signs
-
Zoning
Unfinished/Basement
Sq.Ft.
Finished/Living
Sq.Ft.
Sq.Ft.
Garage
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit
Park Dedication
Occupancy Fee
$0.00 Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Use/Nature SFR / Tear off and replace roof on garage. **DEBIT ACCT**.
of Work
Plumbing Contractor
HV AC Contractor
Electric Contractor
Fees: Valuation
$1,100.00 Plan Approval
~
$0.00 Permit Fee Paid
$32.00 Park Dedication
$0.00
Issued By:
Date 06/20/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1409010000
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 (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.
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Roofing & Siding Permit Application
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City of o~bkosh
Inspection Services Division
.p 0 Box 1130
Oshkosh, WI 54903-11:30
F11one:(920)236-50S0
Fax: (920) 236-5084
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box l128,
Oshkosh WI 54903-1128. Commencing work witllout pennit(s) will result in fees being doubled or $100.00 plus the
norma.l pennit fee, which ever is greater.
OR
J(V6U are a c..Ql'ltractor varticivatinv in thl! E-ermit fee Account Sll.~le1:ll and have adeQuate funcb.. check. here
i(you want this "rocessed thrQuE.h your account r]
OWNER
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iJiaqJJ- ;(J1v/~-
I am the: 0 Owner OR ~ ~actor
JOB ADDRESS
CONTRACfOR
~ CATEGORY
/ _ingh: Family D Duplex
Work being done:
ROOFING
;6' Tea.r off and replaceexiating roonng on Cl house, ~arage
D Replace wood decking / .,
D Add I layer of roofinl! to the existinl!
Thi!l work is being done due to D Hail Damo!!e
o Multi-Family
o Rentnl
D Commercial
o Indulrtrial
layer(s) on D house, 0 garage
o Other
SIDING
D rnstall ~Iding on CI house., 0 garage
CJ Replacing vinyl with vinyl
D Replacing steel or aluminum with vinyl (circle steel oraluminum)
Cl Replacing with
This work is being done due to D Hail Damage D Othcr
When siding is done, one of the boxes below must be checked:
I) 0 Electric -- Existing Electric Meter, receplllelc, lighting nnd Electric Service cntmnce alterations/modifications are being performed
by-,...
(N&mc of l.ic~n""d EJo<'l\ic ConlnlClor)
AW U Electric Installation Verification fonn i.~ atlllched OR IJ Separate Elect Pennit will be requested.
2) 0 Electric - Not Applicable because: U J Blocb prcvi<;lusly installed. UNo outgidc lights. J Other
~~
\ 9-0
o Install new or D Roplace gUltOl'll
D lnstall new or CI Replace downspouts
Othe..related work bein~ done: (please note)
Value of the .iob $ ~ /?ftJ. Pi)
(inclUde fair market price for labor even if you are Mt paying for labor)
03/02