HomeMy WebLinkAbout0126276-Building (roof)
G
OSHKOSH
ON THE WATER
Job Address 564 MOUNT VERNON ST,
CITY OF OSHKOSH No
126276
BUILDING PERMIT - APPLICATION AND RECORD
Owner THOMAS G RUCK Create Date
08/15/2007
Designer
Contractor OWNER
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
Canopies
Signs
Unfinished/Basement
Bedrooms
Stories
Garage
Baths
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit
Occupancy Fee
$0.00 Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature Duplex / Tear off and replace roof on garage.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
$900.00 Plan Approval
~
$25.00 Park Dedication
$0.00
Fees: Valuation
$0.00 Permit Fee Paid
Issued By:
Date 08/15/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcel Id # 0403600000
Signature
Date ij,q (~- O'~
Address
OSHKOSH
WI 54904 - 7884
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
~
OfHKOfH
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. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR .
Ifv.ou are a contractor participating in the Permit fee Account Svstem and have adequate funds. check here
if~ou want thisvrocessed throuflh vour account n . .'
CONTRACTOR
JOB ADDRESS
OWNER
I am the:
-,(owner
OR
o Contractor
USE CATEGORY ./.
0. Single Family . ~Duplex
0. Multi-Family
o Rental
o Commercial
o Industrial
Work ~eing ~one:
ROOFING
~ear off and replace existing roofing on 0. house, ~rage
o Replace wood decking
o Add I layer of roofing to the existing
This work is being done due to 0. Hail Damage 0. Other
layer(s) onO house, 0 garage
SIDING
o Install siding on 0 house, . 0 garage
o Replacing vinyl with vinyl
o Replacing steel or aluminum with vinyl (circle ste~1 or aluminum)
0. 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:
. 1) 0. Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alt~tions/modifications are being performed
by .
(Name of Licensed Electric Contractor)
AND 0 Electriclnstallation Verification form is attached OR
o Separate Elect Permit WIll be requested.
. 2) 0 Electric ~ Not Applicable because: 0 J Blocks previously installed. 0 No outside lights. 0 Other
Other related work being done: (please note)
/l.'e
l/l~
1~1e
o Install new or 0 Replace gutters
0. Install new or 0 Replace downspouts
~/ ..
Value of the job' $ L/CX) tV
~.
(include fair market price for labor even if you are not paying for labor)
03/02