HomeMy WebLinkAbout0125981-Building (roof)
o
OSHKOSH
ON THE WATER
Job Address 1412 LIBERTY ST
CITY OF OSHKOSH No 125981
BUILDING PERMIT - APPLICATION AND RECORD
Owner THOMAS S JAWORSKI Create Date 06/20/2007
Designer
Contractor FOX VALLEY ROOFING & SIDING
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy o Fence o Raze
Class of Const: Size
Rooms Height Ft. D 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
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature SFRI LATE PERMIT/ Replace roof.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$5,100.00 Plan Approval
~
$0.00 Permit Fee Paid
$60.00 Park Dedication
$0.00
Issued By:
Date 07/26/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1206260000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 PO BOX 737
Agent/Owner
NEENAH
WI 54956 - 0737 Telephone Number 920-729-1117
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.
Ju1. 24. 2007 10: lOAM
inspection services
No. 3941 P. 1
~ CityofOsbkosh
Inspection Services Division
POBox 1130
Oshkosh. WI 54903-1130
Phone: (920) 236--5050
F~ (920) 236-5084
$ ~O,OC \'
p:2rM\'~ ~E;.,
~
O{!-!g/H
Roofing & Siding Permit Application
. . Application{s) and fee(s) can be brought to City Ran. Room 205 or mailed to Inspection SetVices. PO Box 1128. .
Oshkosh WI 54903-1128. Commencing work without pennit{s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR .
l(you are a l:ontrac:tor ~a,.ti,i1Jatill1!in the Pe.Tmh fe.e Account Svsteftf alIi have ade.quate funds. check here
i(vou want thiSlJroc.e.sse..d t1lrouf!h VOUT account n . . .
JOBADDRESS j ~/ d A /6 ~p s;f ,
OWNER ~ IDtY1 S.. ~1A J(!;> f'$k/ . .
~ ..~e7)tI tla1t.y /!,'-'{:-Aj +- );/} ,'~
I am the: . 0 Owner OR. ~DlraCtor .
qs~ATEGORY
,:rs-in:le Family . d Duplex
o Multi-FlIIllily
o Rental
o Commercial.
0. Industrial
Work ~eiDg ~1le: .
R09FING
v-{"ear otfand replace existiAg rooting on 0 holol$e, C pnp
o Replace wood ded<ing
o Add I layer ofroofin~ to the existing
'This work is being done due co 0 Hail Dsmage 0 Other
SIDING
o Install siding On Cl house, . Cl glItag'C
o Replacing vinyl with ...my!
,.
o Replacing stc:d or alwninum with vinyl (circle ~ o~ allm1inum)
o Replacing with
This wodt is bcinS done due to 0 Hail Oamage 0 Other
When siding is done, one of the boxes below /IIustbe checlced:
layet(s) onO hoU$C, C garage
1) 0 Electri<: - Existing Electric: Meter, receptacle. lighting and EJearic Service etttrance altera,cionslmcditKations are being petfoImCd
by .
(NalltIlat~E~C~)
. AIm OEl....._V.........IMm;,~ ll\!. ~~...llW-D
. 2) 0 Elcctric;'" Not Applicable because: 0 J Blocks previously i~S13!ted. 0 N~ OUI$idc 1i~ __ ~ I: I .
Oth.er related work being done: (please note)
AmLo
, -
JUL 2 6 2007
. DEPARTMENT OF
COMMUNITY DEVELOPMENT
. INSPECTION SERVICES DIVISION
~l
6q
\d-
I
03/02
o Install new or C Replace gutte:s
o Insrallnew or 0 Replace downspouts
VaJneofthejob $ 5"IOD
. (include fait market price for labor oven if you IIR not paying for labor)