HomeMy WebLinkAbout0126948-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 1659 OHIO ST
CITY OF OSHKOSH No 126948
BUILDING PERMIT - APPLICATION AND RECORD
Owner GERALD E HENSEL Create Date 09/25/2007
Designer
Contractor CHAMPION BUILDERS SRC
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy o Fence o Raze
Class of Const: Size
Rooms Height Ft. D Projection I
Bedrooms Stories Canopies
Baths Signs
Zoning
Unfinished/Basement
Sq.Ft.
Finished/Living
Sq.Ft.
Sq. Ft.
Garage
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
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature SFRI Tear off and replace roof on house and garage.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $8,800.00 Plan Approval
Issued By: (hrr:::J
$0.00 Permit Fee Paid
$81.00 Park Dedication
$0.00
Date 09/25/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcel Id # 1302260000
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 a tion within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and toZ:~ ny n . sa !Wp~ls before starting such activity.
Signat a:e---- .~_ Date 97S0 7
Agent/Owner
Address
132 WESTBROOK DR
Oshkosh
WI 54904 - 0000
Telephone Number
235-0132
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
~
OfHKOfH
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 Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Ifvou are a contractor particivatin!! i.n the Permit fee Account Svstem and have adequate funds. check here
ifvou want thisvrocessed throu!!h vour account n
JOB ADDRESS 1&59 OJ// cJ s:' r
OWNER ):- ~..., {;( /. .
CONTRACTOR (t~~}'l:~i< A./,~// S (/Z L
I am the: ~ Owner OR ~ontractor
~E CATEGORY
~Single Family . 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
Work peing ~one:
ROOFING
o Tear off and replace existing roofing on ~house,r~ garage
o Replace wood decking
o Add 1 layer of roofing to the existing
This work is being done due to 0 Hail Damage~Ot~er
SIDING
layer(s) on 0 house, 0 garage
o Install siding on 0 house, . 0 garage
o Replacing vinyl with vinyl
o Replacing steel or aluminum with vinyl (circle ste~l or aluminum)
D. Replacing with
This work is being done due to 0 Hail Damage 0 Other
When siding is done, one of the boxes below must be checked:
. I) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by .
(Name of Licensed Electric Conlractor)
AND 0 Electric Installation Verification form is attached OR
o Separate Elect Permit will be requested.
2) 0 Electric ~ Not Applicable because: 0 J Blocks previously installed. 0 No outside lights. 0 Other
o Install new or 0 Replace gutters
o Install new or 0 Replace downspouts
~~
f~0 q
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Other related work being done: (please note)
Value of the jl$ &)JtJO
(include fair market price for labor even if you are not paying for labor)
03/02