HomeMy WebLinkAbout2007-Building (roof)
.
OSHKOSH
ON THE WATER
Job Address 1217 WASHINGTON AVE
CITY OF OSHKOSH No
126898
BUILDING PERMIT - APPLICATION AND RECORD
Owner DAVID LELlNSKI Create Date
09/21/2007
Designer
Contractor OWNER
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement Sq. Ft.
Rooms
Height
Ft.
o Projection I
Canopies
Finished/Living
Sq.Ft.
Sq.Ft.
Bedrooms
Stories
Garage
Baths
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Not Required
Occupancy Fee
$0.00 Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature SFR 1 TEAR OFF AND REPLACE EXISTING ROOFING AND WOOD DECKING ON THE HOUSE ONLY, NO STRUCTURAL CHANGES
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $11,000.00 Plan Approval
Iss~ed By: ~
$0.00 Permit Fee Paid
$94.00 Park Dedication
$0.00
Date 09/21/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 0203480000
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
desCribrthiS permit app I n within an easement, t City strongly urges the permit applicant to contact the easement
hOlder(S~O se~~ny ne ry approva b rtin~ch activity. ! /
Signature ,,'- Date 7 rl/ / 0 7
I (
Address
Oshkosh
WI 54901 - 0000
Telephone Number
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.
Roofing & Siding Permit Application
~
OJHKOJH
ON THE WATER
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
· Application( s) and fee( s) can be brought to City Hall, Room 205 or mailed to mspection 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 .
Ifvou are a contractor TJarticiTJatinfl in the Permit fee Account Svstem and have adequate funds. check here
if vou want thisTJrocessed throuflh vour account n
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-
OWNER
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DOwner
OR
g..cOntractor
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CONTRACTOR
US~ CATEGORY
mingle Family . 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
Work ~eing ~one:
ROOFING
f9"'f"ear off and replace existing roofing on e'h::use, 0 garage
Ef'Replace wood decking
o Add 1 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 stec;: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 alte~tionslmodifications 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) 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)
6;;'
--
Value of the job $ II aOO
(include fair market price for labor even if you are not paying for labor)
03/02