HomeMy WebLinkAbout0126560-Building (roof)
.
OSHKOSH
ON THE WATER
Job Address 2366 BURNWOOD DR
CITY OF OSHKOSH
No
126560
BUILDING PERMIT - APPLICATION AND RECORD
Owner THOMAS J/PATRICIA A SUSZEK REV TRUST Create Date
08/31/2007
Designer
Contractor TOM DETTLAFF ROOFING
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement
Sq.Ft.
Sq.Ft.
Rooms
Height
Ft.
o Projection I
Finished/Living
Bedrooms
Stories
Canopies
Garage
Sq.Ft.
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
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature ~FR / TEAR OFF AND REPLACE EXISTING ROOFING ON HOUSE AND ATTACHED GARAGE, NO STRUCTURAL CHANGES
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
$0.00 Permit Fee Paid
$60.00 Park Dedication
$0.00
Fees: Valuati~,.... / !<S,675.00 Plan Approval
Issued By: uy "1
Date 08/31/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1323391700
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,~]c1e any necess approvals before st rting such activity.
Signature ~,,0 Date g.... 31-- 6 ?
Address
608 W 7TH AVE
OSHKOSH
WI 54902 - 0000
Telephone Number
235-7239
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 pennit(s) will result in fees being doubled or $100.00 plus the
nonnal 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 you want this processed throuf!h your account n
JOBADDRESS ~3~~ l3~tGnwC)oJ:Dr
OWNER .-r; W1 S'ill S L e. k
CONTRACTOR /GO? ..])eN/q f+
I am the:
DOwner
Rao.-fl ~ 8
rn-eontractor
OR
US&-CATEGORY
IB'Single Family . D Duplex .
D Multi-Family
D Rental
D Commercial
o Industrial
Work ~eing ~one:
ROOFING
o Tear off and replace existing roofing on ~use, ~e
o Replace wood decking
o Add I layer of roofing to the existing
This work is being done due to 0 Hail Damage D Other
layer(s) onD house, D garage
SIDING
D Install siding on D 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 D Hail Damage D 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 of Licensed Electric Contractor)
AND 0 Electric Installation Verification form is attached OR
o Separate Elect Permit will be requested.
. 2) D Electric:'" Not Applicable because: 0 J Blocks previously installed. 0 No outside lights. 0 Other
D Install new or 0 Replace gutters
D Install new or 0 Replace downspouts
Other related work being done: (please note)
NoYle.
Value of the job $.~ 1S < OtJ
(include fair market price for labor even if you are not paying for labor)
03/02