HomeMy WebLinkAbout0126262-Building (roof)
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OSHKOSH
ON THE WATER
JobAddress 615W 11TH AVE
CITY OF OSHKOSH No 126262
BUILDING PERMIT - APPLICATION AND RECORD
Owner CECILIA BAIER Create Date 08/14/2007
Designer
Contractor HICKEY ROOFING
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
UnfinishedlBasement
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
UselNature SFR / TEAR OFF AND REPLACE EXISTING ROOFING ON HOUSE AND ATTACHED GARAGE, NO STRUCTURAL CHANGES ""debt
of Work 3cct
# Dwelling Units
o
# Structures
o
Park Dedication
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $6,392.00 Plan Approval
Issued By: SIYlS-
$0.00 Permit Fee Paid
$67.00 Park Dedication
$0.00
Date 08/14/2007
FinaIlO.P. 00/00/0000
o Permit Voided I
Parcelld # 1303670000
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
AgentlOwner
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.
i
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City ofO~hk()~h
r.nspcctiol1 SelViecs Division
POBox 1130
OsltkQsh, WI 54903-1130
Phone: (920) 2.36~5050
Fax: (920) 2~~6-5084
Roofing & Siding Permit Application
. ~~
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[17FRC1JR
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· Application(s) and fee(s) can be broughtto City Hall, Room 205 or mailed to Inspection Services, PO Bo:\: J'12H,
Oshkosh Wl 54903-1128. Com,mencing work without permit(s) will result ill fees being doubled or $100.00 plus tl1l~
nomal permit fee, which ever is greater.
OR
.T.Lv..o rJ...B.!:J1..~<;1 co /1 tI.a.!lJ..<2..!.....JliUJ~J DO ti,t LfJJ rh e I!.e rm if C~e A a co 1J..U..L;U,JJ.~'.!1 all d b...?:!..~ ad t11i'd.lUQ..iJll1(,t,'L.....f:/:IIH: IL.I1!:..!:,
i.f.J!.sllL..want this In:oceued OU-OuVLYour account' 0
.108ADDRr.~___ & /!>" ~ ~ IA ~:..._~~
OWN,gR Gt/& 13ti/." #
CONTRA~:~R_M~;t'~/--:J - _~.~.~=.
I am the: 0 Owner OR ;:A COlttl:actOl'
~CATEGORY
/ :-:;it1gl~ Fnmily
o Ouplex
o MultHamily
Cl Rental
CJ Commcrcinl
o .lndu!Urilll
Worl, being done:
R~FING
~rcl\r ofr Rnd roplnce eJci~ing matins ~Is~rago
o RCf,lrtce. wood dCI;Jdng ,
o Add I layer of roofing to the existins
This wl)rk is being done due 10 0 Hail DfLrrLligc CJ Other
layer(s) On 0 hOllse, 0 gllrnge
SIDING
1:1 Install lliding on 0 house, 0 garage
o Replacing vinyl Wilh vioyl
o RaplBeing steel or aluminum with vinyl (ch~lc sfeel or aluminum)
o Replacing with
This work i~ boinS done due 10 D Hail DaU'l~O 0 Other
When siding is done, one of the boxes below must be checked:
I) 0 Electrie - Existing Electric Meter, receptacle, lightinB and Electric Servico cntmnoc !l.ltcr"tions!modHicn!iol1s nl'e bt~il1g I'tlttl,rmed
by
, (Nii:;ii! of 1,.ico~CO;;tI1I<:l.or) "
AND. LJ Electric InsrallstJOII Verification form is attached Q.R I.J Scpamte Elect Pc!rnlit will he rcquo~tcd,
2) 0 Electric - Not AppliCllbJe bceause: IJ.T Blocks previously installed, UNo outaidc lighl~. J Other__
. ".~___. o. ..... _._._._..... " _
CJ Ill~tR!l new or D Replace guttCf!l
o hl!ltlll1ncIV or D Replace dOWllRpouts
Other related wo.-k being done: (please note) ~
."~~"---....,..
---.. ""'----.-
Value ~f the job ~?/ 3 ~~. t'1J
(inclllde fair market prieo for lllbor even if you al'l;: not payine: tor labM)
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