HomeMy WebLinkAbout0126217-Building (roof)
e
OSHKOSH
ON THE WATER
Job Address 2633 TEMPLETON PL
CITY OF OSHKOSH No 126217
BUILDING PERMIT - APPLICATION AND RECORD
Owner WILLIAM C/NANCY MACKSAM Create Date 08/10/2007
Contractor OWNER
Designer
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
Canopies
Bedrooms
Stories
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 Not Required
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature SFR / ADD 1 LAYER OF ROOFING TO THE EXISTING 1 LAYER ON THE HOUSE ONLY, NO STRUCTURAL CHANGES
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval
Issued By: ~~, I
$0.00 Permit Fee Paid
$53.00 Park Dedication
$0.00
Date 08/10/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1319030000
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.
Slgnot... '-1tlAPf ~ 4.,('h~/l?'f/
Agent/Owner
Address 2633 TEMPLETON PL OSHKOSH
Date
?-/O-fJ7
~ 54904 - 8313 Telephone Number
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 int() 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
~
OJHKOfH
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 pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR .
Ifvouare a contractor varticivatinf! in the Permit fee Account System and have adequate funds. check here
if yOU want this processed through your account n . .
OWNER
JOB ADDRESS
CONTRACTOR
+wner
OR
o Contractor
I am the:
USE CATEGORY
o Single Family . 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
Work being ~one:
ROOFING
o Tear off and replace existing roofing on 0 house, 0 garage
~place wood decking
~dd 1 layer of roofing to the existing . I
This work is being done due to 0 Hail Damage 0 Other
laY"M oj__ 0"""",
/2(} C2-'
SIDING
o Install siding on 0 house, . 0 garage
o Replacing vinyl with viilyl
o Replacing steel or aluminum with vinyl (circle ste~l or aluminum)
D. 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 alte~tionslmodifications are being performed
by .
(Name of Licensed Electric Contractor)
AND 0 Electric Installation Verification form is attached OR
o Separate Elect Permit wm 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)
'f ..
Valu~ of the job $ SODt)
(include fair market price for labor even if you are not paying for labor)
03/02