HomeMy WebLinkAbout0126260-Building (roof)
o
OSHKOSH
ON THE WATER
Job Address 1673 DOTY ST
CITY OF OSHKOSH No 126260
BUILDING PERMIT - APPLICATION AND RECORD
Owner JEFFREY P/SHIRLEY A LEBOUTON Create Date 08/14/2007
Designer
Contractor OWNER
141 _ Exterior Remodeling Plan
Category
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 ALSO REPLACE THE WOOD DECKING, NO
of Work STRUCTURAL CHANGES
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $6,000.00 Plan Approval
Issued By: ~
$0.00 Permit Fee Paid
$60.00 Park Dedication
$0.00
Date 08/14/2007
Final/O.P. 00/00/0000
o Permit Voided I
parcelld # 0306070000
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 ~ ---
Agent/Owner
Address 1673 DOTY ST OSHKOSH
Date
c9' - /~-e77
WI 54902 - 0000
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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
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ON THE WATER
· 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. Coinmencing work without permit(s) will result in fees being doubled or $100.00 pluS the
normal permit fee, which ever is greater.
OR
I .ou are a contractor artici atin in the Permit ee Account S stem and have ade unds check here
if vou want this processed throuf!h vour account n
JOB ADDRESS i &:, l?' f"::x3'/'\./'6~
I
OWNER S"E:FFRGy +SHlRLGy Le ~uTOV\..j
CONTRACTOR g leI<: ;;: I 'P.1J.GR
I am the: . . Owner OR 0 Contractor
I,
USE CATEGORY
IjCSingle Family . 0 Duplex .
o Multi-Family
o Rental
o Commercial
o Industrial
Work being ~one:
ROOFING
e('Tear off and replace existing roofing on .!(house, 0 garage
11 Replace wood decking
o Add 1 layer of roofing to the existing
This work is being done due to 0 Hail Damage
layer(s) onO house, 0 garage
j2(Other A C::::.?
SIDING
o Install siding on 0 house, 0 garage
o Replacing vinyl with vinyl
o Replacing steel or aluminum with vinyl (circle ste~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 alterations/modifications are being performed
by .
(Name ofLiceosed Electric Contractor)
AND 0 Electric Installation Verification form is attached OR
o Separate Elect Permit wJ1l 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 $ ~ ~ ex::)
(include fair market price for labor even if you are not paying for labor)
03/02