HomeMy WebLinkAbout0126961-Building (roof/gutter)
e
OSHKOSH
ON THE WATER
Job Address 428 W 9TH AVE
CITY OF OSHKOSH
No
126961
BUILDING PERMIT - APPLICATION AND RECORD
Owner ~~MESBB~t'J~~.!3I_______________ Create Date 09/26/2007
Designer
Contractor LUEBKE ROOFING
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o F=:~~ce
o Raze
------~
Zoning
Class of Const:
Size
Unfi nished/Basement SqoFt. Rooms Height Ft.
Finished/Living Sq.Ft. Bedrooms Stories
---_.__._--~----~._---
Garage Sq.Ft. Baths
------ ..---..-..---.-.--..--
o Projectio~
Canopies
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Not Required
Park Dedication
Occupancy Fee $0.00
Flood Plain
Height Permit
# Dwelling Units
o
# Structures 0
Use/Nature 'ISFR / TEAR OFFAND REPLACE EXISTING ROOFING AND PARTIAL GUTTER REPLACEMENTS ON HOUSE ONLY, NO
of Work STRUCTURAL CHANGES **check #6771
I
i
I
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuat-iQ.n . ~ $9,753.00 Plan Approval
Issued By: ~~
$0.00 Permit Fee Paid
$88.00 Park Dedication
$0.00
Date 09/26/2007
Final/OoP 0 00/00/0000
.----'---.----.___.-0-"-.
O_.p.~~.~~~.i~~~J
Parcelld # 0906010000
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
2550 PROGRESS WAY
Agent/Owner
KAUKAUNA
WI 54130 - 9558
Telephone Number
.
766-9019
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
REC
IV D
Jt:,S8-'
~
OJHKOfH
ON THE WATER
SIP 2 6 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
Roofing &ISidmtt)[~~f~jjf~tion
., . Applicatlon(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 pennit fee, which ever is greater.
OR
lfvou are Ii contractor DarticiDatinf! in the Permit fee Account System and have adequate funds. check here
if yOU want this processed through your account n . . '
l.\Cl5 w. q-tb Au-Q. I a~U o~h I W\
OWNER H'\ \ c\rec\ Qe.Y"lY'\e..IT
CONTRACTOR Lue.b~e. Qr"Y- *4 f'.J
I am the: 0 Owner OR liJ.'Contractor
JOB ADDRESS
5~ 'LQ~
'-i\:
\ci.4 q\
USE CATEGORY
u:YSfngle Family 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
---....
Work being ~one:
ROOFING
~ar off and replace existing roofing on Izrhouse, 0 garage
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) on 0 house, 0 garage
SIDING
. j,-,:: <A'f '~): 4;.:~ ?/ <:!' :<\. :." ',", '" ..;.
o Instill siding on '0 house, d garage
OR.eplacing vinyl, with vi~~1
o ReplaCing steel or aluminum with vinyl (circle steel or aluminum)
o Replacing , with
.".- ,,:: . .- c-- -....... .
This work is being done due to 0 Hail Damage
.}
o 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 perfonned
by
(Name of Licensed !;lecmc Contractor) .' .
AND 0 Electric Installation Verification fonn is attached OR 0 Separate Elect Pennit 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 }teplace downspouts
Other related work being done: (please note)
5~1 p~r-\1aJ), JU.plci.uunef\~ '
Value of the job ~:.~ ~ ,-
(inch~Qe fair market price for labor even if you are not paying for labor)
.', - 03/02