HomeMy WebLinkAbout0125582-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 126 W 24TH AVE
CITY OF OSHKOSH No 125582
BUILDING PERMIT - APPLICATION AND RECORD
Owner LOWELL R/CAROL S ROBBINS III Create Date 06/29/2007
Designer
Contractor OWNER
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.
o 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 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 $1,500.00 Plan Approval
Issued By: ~
$0.00 Permit Fee Paid
$32.00 Park Dedication
$0.00
Date 06/29/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcel Id # 1403300000
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 p rmit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and cure any essary pr I Is before starting such activity.
Signature i
Date
b/;P;/O'7
"
Address 126 W 24TH AVE
Agent/Owner
OSHKOSH
WI 54902 - 7212 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 .
[fvou are a contractor particioatinf! in the Permit fee Account System and have adequate funds; check here
if yOU want thisorocessed throuf!h your account n
JOB ADDRESS / ) b
OWNER Lcx-ve L (
W ~\ltA AJC
)(Ob6//l \
,
CONTRACTOR
I am the:
I)tOwner
OR
o Contractor
USE CATEGORY
~Single Family . 0 Duplex .
o Multi-Family
o Rental
o Commercial
o Industrial
Work being !lone:
ROOFING
pr Tear off and replace existing roofing on ~house, 0 garage
o Replace wood decking
o Add 1 layer of roofing to the existing
This work is being done due to 0 Hail Damage 9Y Other
SIDING
layer(s) onO house, 0 garage
()/d
o Install siding on 0 house, . 0 garage
o Replacing vinyl with vinyl
o Replacing steel or aluminum with vinyl (circle stec,:l 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 altel4tionslmodifications 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 of the job $
~. 50[2 <:::29C::> (include fair market price for labor even if you are not paying for labor)
03/02