HomeMy WebLinkAbout0127020-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 1736 BERNHEIM ST
CITY OF OSHKOSH No 127020
BUILDING PERMIT - APPLICATION AND RECORD
Owner JOHN C / TERRI R MARXEN Create Date 10/01/2007
Contractor LUEBKE ROOFING
Designer
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.
D Projection I
Finished/Living
Sq.Ft.
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
Occupancy Fee
$0.00 Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature SFR / Add 1 layer of roofing to existing layer on house. Install gutter topper.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$6,591.00 Plan Approval
~
$0.00 Permit Fee Paid
$67.00 Park Dedication
$0.00
Issued By:
Date 10101/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1331920000
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 (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
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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
If yOU are a contractor varticivatinp in the Permit fee Account System and have adeauate funds. check here
if yOU want this vrocessed throuph your account n
JOB ADDRESS l\,~lo 8emelr\)I ~'(OShl Wl sl~qOY
OWNER "Jo\"'\n 8 Te rr'\ Ho..r'){ em
CONTRACTOR L\).p bILe Rco+='i f\~ -tb- \<:3) ~ 9 I
I am the: 0 Owner OR ~ntractor
USE CATEGORY
o Single Family 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
Work being done:
ROOFING
o Tear off and replace existing roofing on 0 house, 0 garage
o Replace wood decking
~d I layer of roofing to the existing \
This work is being done due to 0 Hail Damage 0 Other
layer(s) on )d'house, 0 garage
SIDING
R
o Install siding on 0 house, 0 garage
o Replacing vinyl with vinyl
o Replacing steel or aluminum with vinyl (circle steel 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:
1) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being perfonned
by
(Name of Licensed Electric Conlr3clor) .
AND 0 Electric Installation Verification fonn is attached OR 0 Separate Elect Permit will be requested.
OCT 0 1 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
rl\6....tL IrUN SERVICES DIVISION
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) (-='Ll t:t~r ~
()
11 \) Q..
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1
Value of the job $ G~5'l\. ~
(inclwie fair market price for labor even if you are not paying for labor)
. - 03/02