HomeMy WebLinkAbout0126376-Building (roof)
G
OSHKOSH
ON THE WATER
Job Address 450 W 16TH AVE
CITY OF OSHKOSH No 126376
BUILDING PERMIT - APPLICATION AND RECORD
Owner THOMAS J BRITTNACHER II Create Date 08/21/2007
Designer
Contractor HICKEY ROOFING
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
U nfin ished/Basement
Sq.Ft.
Sq.Ft.
Sq.Ft.
Rooms
Height
Ft.
D Projection I
Finished/Living
Bedrooms
Stories
Canopies
Garage
Baths
Signs
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 ::;FR / Tear off and replace roof on house. **DEBIT ACCT**.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$4,293.00 Plan Approval
~
$0.00 Permit Fee Paid
$53.00 Park Dedication
$0.00
Issued By:
Date 08/21/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 0907620000
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
Agent/Owner
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.
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City of O~hkosh
1t'l~p~cliol1 Services Division
POBox.1130
Oshkosh, 'WI 54903-1130
Phone: (920) :1.36-5050
FI1l<: (920) 236-5084
CIJ
.C45QI'R
Roofing & Siding Permit Application
. AppUcation(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Bo~ 1128,
Oshkosh WI, 54903-1118, Commencing work without pcnnit(s) will result ill fees being doubted or $1 oO.QO plus the
nonnal permil fee, which ever is greater,
OR
LLYO.1L!Jll.JJ COl1tr9Jlli2.LJ7.arr.tcirJati'Hl i,n~rr..rzi1.i1...f..(1(! A ccou.nt Svs tp,.m cmdJu.lvl1 adCCTUQ II] .mILds ._':.11 I!!C!LI1!!..1:,\
LL..i!.2.Y. want ibis TJrocl!ssed throIJsd1 vour ClccoU/:!.LD
.1On AnDRESS L.),5V uJ. / /;- If.A tt?#1
nWNF."~- ~cb:i.L -~-=--==---=~=
CONTRACTOR~~/~._~~._---_.-
[ am the: 0 Owner OR ~ntra r ~
!!~ CATEGORY
y:-lingltl Fllmily
OD1Jplell
o Multi-Family
o Reninl
o CommcrciRl
D Indl1~l:riul
Worl( being done:
I)POFING
/J Tcor off and replace existing roofing ~holl!le, 0 garage
o ReJ'IJ)ec: wood c1ccking
o Add lll\yer of roofing to the exiirti118 _."
Tlli ~ work is beln!; done due to CI Hail DMlflgc
Inyer(~) on 0 house. 0 BII,rngc
-
CI Other
SIDING
o 111!ltllll siding on 0 hO\llle, 0 garage
o Replacinr:l vinyl with vinyl
o Repll\cing steel or B1uminl.lm with vinyl (circle stoel or aluminum)
o Replacing with
Thill work is lX:lllg done due t(t 0 Hail DflD'lBse IJ Other
When siding is done, one oftbe boxcs below must be chCl':ked:
1) 0 ~Icctde _ Eldsting Electric MeIer, tceeptac(e, lighting B,tJd Electlic Service cntronco Rltcr9.tions/modi1icl\ti(\n~ L'l1'C bcil\g pcrt'c\rmc I
~- - - .
(Nnme of 1..eonBod Bl=ctrlD Conll'llClor)
AWJ. U ,F.;lcetric Insmllation Verification form is llttRehcd QR LI Sopamtc Eloct permit will be requeMed.
2) 0 Electric " Not Applicllble beCAuse: IJ J Blocks previously installed. LI No out.qidc lillhts. J Other --.-...
C1ln~tnll ncw 01' Q Rcph~l.ce ~\ltteT!l
r.:l 'n~tn1111CW or D Replace dOWIJ!lpout~
Othelr rela.ted work being done: (please note)
Value of the job ~;( c:J ~ , t/IJ
(include ()lir market price for labor even if you QIe l10tpaying for labor)
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