HomeMy WebLinkAbout0127438-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 838 W 5TH AVE
CITY OF OSHKOSH No 127438
BUILDING PERMIT - APPLICATION AND RECORD
Owner KEITH C GULDAN Create Date 10/23/2007
Designer
Contractor HICKEY 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.
Sq.Ft.
Rooms
Height Ft.
D Projection I
Finished/Living
Bedrooms
Stories
Canopies
Signs
Garage
Baths
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 SFR / Tear off and replace roof on house.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$3,550.00
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Plan Approval
$0.00 Permit Fee Paid
$46.00 Park Dedication
$0.00
Issued By:
Date 10/23/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 0604660000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 1427 BROAD ST
Agent/Owner
OSHKOSH
WI 54901 - 3047 Telephone Number 426-4008
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.
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City of Oshkosh
Inspection Servlces Division
POBox 1130
Oshkosh, WI 54903-1)30
Phone: (920)236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
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. Application(s) and fee(s) can be brought to City Hall, Room 205 or rnailed to Inspection Servicesr PO Box )128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) wm result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If YOU ~re a contractor v...articil'atiIH! in theJ?_lfrrnit fee Account SY3Hem and have adefluote funds. check here
Ie ~ou want t'his..JJ.""ce.ued th,.OlH!h V01Jr account n
JOBADnRESS '-=Sf'" tV SfU. a-H
OWNERJiiA-d ..._~ ," ....-
CONTRActOR }~ L€~ ~-
I am the: 0 Owner OR ~ontractor
1JjE CATEGORY
~Sing'e Family
IJ Duplex
CJ Multi-Family
o Rental
o CommerciQI
o fndu!ltrial
Work being done;
ROOFING .
~ellr offlllld replace existing roofing on ~OUllC, 0 gnrnge
o Rcplace wood decking
o Add] loyer of rooting to the existing
This work ill being done due to CI Hllil Dll.ll1agc 0 Other
loyer(s) on 0 hOUllC, 0 garage
SIDING
Ll Install siding on 0 huuae, C1 garage
IJ Replacing vinyl wjth vinyl
o ReplQcing steel or lllurninum with vinyl (circle steel I)" aluminum)
IJ Replacing with
This work is being done due to 0 Hail Damage IJ Other
When siding is done, one ofthe boxes below must be checked:
1 ) 0 Electric Existing Electric Meter, receptQcle, lighting nod Elcctric Scrvicc c:ntrllnce nltemtions/modi{icationa arc being perfonned
by
(Name of Liccn..d Electrio CCI'\!rl"'"t01')
~ U Electric lnlllallation Verifteation form is Ilttachcd
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U Sepal'll.te Elect PcflJlit will be requested.
2) 0 Electric - Not Applica.ble because: U.T Blocks prcviouRly instlllled. U No outside lighb. -1 Other.
o r n.~1:a1l new or CI Replace gutters
IJ Install {JeW or 0 Replace downspouts
Other related work being done: (please note)
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~'l
I 03/02
Va.lue of the .job $3551). &U
(include fair market price for Inoor even ify"u are not paying for labor)