HomeMy WebLinkAbout0125871-Building (roof)
o
OSHKOSH
ON THE WATER
Job Address 840 W 12TH AVE
CITY OF OSHKOSH No 125871
BUILDING PERMIT - APPLICATION AND RECORD
Owner GENEVIEVE KEMPINGER LIFE EST Create Date 07/19/2007
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.
Garage
Sq.Ft.
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit
Occupancy Fee
$0.00 Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature SFR / Tear off and replace decking & roof on house. "DEBIT ACCT".
of Work
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$0.00 Permit Fee Paid
$74.00 Park Dedication
$0.00
$7,900.00 Plan Approval
~
Issued By:
Date 07/19/2007
Final/O.P. 00/00/0000
o Permit Voided i
Parcelld # 1303290000
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 penmit 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
AgenUOwner
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
contitue if the inspection is not performed within two business days from the time the project is ready.
r~
City of Osbko!lh
Inspccti{)~l ~etviccs Divi!lion
POBox Ll30
O~t,kosh, WI 54903-1130
Phone: (920)236-5050
Fax: (920) 236-5084
M d#-<<:lr~ ~.
/.-, I-U)
(~
'(l~~lfl
Roofing & Siding Permit Application
. Application(s) and fce(s) can be brought to City Hall, Room 205 or mailed to Jnspection Services, PO Box 112g.
Oshkosh WI 54903-1128. Commencing work withou.t pennit(s) will result in fees being do~b1cd,or $100.00 plus the
llomlru pcnnitfee, which ever is greater.
OR
lfJ!!J!! are a contr{;Lcl0r TJarticfoalil'lJl in theJ'ermitfee Acr;.ount System arLd have ad(!Qr4q.t~ funds. checlch.~:"'1! '
ou wa 'l12i.9 roceS ed 1hrOl4 h 111' aCCoimt' '
.JOB ADDRJ':SS R~{) tJ - I d ~ "
OWNER_~"~ ,V U V~ , t?--e rn E/ ~ .,e, ,--
CONTRACTOR_.iJ/fc. k..,~ ~~--'''--
I am the: D Owner OR ~OJltra~r
!!sp'CATEGORY
~ingle Family lJ Duplex
Work bein~ done:
ROOFING
~lIr off llnd replace existing mofing ~ou-~e, 0 8l1I1lge
~Place wood decking
o Add 1 layer of motlng to 111e existing " '
This work is being done due to 0 Flail Damage 0 Other
o Multi-Fa.mily
o Rentn!
o Commeroill.l
o Indllstrll1l
layer(s} on 0 hOUIlC, 0 gllrage
SIDING
lJ install !liding on lJ house, 0 gllJ1lge
o Replacing vinyl with vinyl
o Replaoing steel or aluminum with vinyl (circle steel or aluminum)
o Replacing with
.this work i!l being done due to 0 Hail Dnmage 0 Other
When siding is done, one of tbe bo.xes below must be checked:
l} 0 Electric ,'ERi$ting Electric Meter. rcecptaclc,lighting nnd Electric Service entronee III terati()nslmoditication~al1l being performed -
~- -- '
(Nnme ofti"""""d moctl'ic Contnlctclr)
~ Ll Electric Installation Verification fonn is llttm:hcd QB IJ Separate Elect Permit will he requested.
2) 0 Electric". Not Applicable beCllu.se; U J13locks-previoI1sly in!ita.lled. JJ No outsidclighK .J Other '
/\\
0~
/~
\
CI In.~tal1 new or d Replace guttcrn
o Instn1\ new or 0 Reploco dow/1spoutR
Other related work being done: (please note)
Value of the job $ /j 9V'o . c-<J
(include fuir markcl: price for lubor even ifytlu are not paying for labor)
03/02