HomeMy WebLinkAbout0127940-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 742 W 19TH AVE
CITY OF OSHKOSH No 127940
BUILDING PERMIT - APPLICATION AND RECORD
Owner SANDRA R PETERSON Create Date 11/27/2007
Designer
Contractor HICKEY ROOFING
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Finished/Living
Sq.Ft.
Sq. Ft.
Sq.Ft.
Rooms
Height
Ft.
D Projection I
Unfinished/Basement
Canopies
Bedrooms
Stories
Garage
Baths
Signs
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit Not Required
Occupancy Fee
$0.00 Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature SFR / TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE ONLY, NO STRUCTURAL CHANGES "debt acct
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $3,740.00 Plan Approval
Issued By: 75Y'Y\~
$0.00 Permit Fee Paid
$46.00 Park Dedication
$0.00
Date 11/27/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1408470000
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 (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.
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City of Oshkosh
Inspection Services Divi:;;ion
POBox 1130
Oshkosh, WI 54903.1130
Phono: (920) 236-5050
Fl1x~ (920) 236.5084
Roofing & Siding Permit Application
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07FRO?R
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. 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 pennit(s) will result in fees being doubled or $100.00 plus the
Donnal pennit fee, which ever is greater.
OR
If 'You are Q contracfor jJ.Qr:.1ici.JUr.tJ.!ULin the. Permit fee Account System and have adequ.flle w.~. check here
~ want thf3 vroce3sed throu$!h VOlll" aCCofwt n
JOB A))DRESS '7 + d-- vJ I q ~ a ~_.._~.,.
OWNER. ..;;r) ~ t' h. ~ 'ls..~
CONTRi\CTOR . J-h (l" ~..~.~.~ 00 h n.-'')
I am the: 0 Owner OR ~ontractor
~E CATEGORY
r 'Single Family D Duplex
Work being done:
ROOFING
~Tear(lffalJd rcplacc Cltilrting roofing o;;z< house, 0 garage
D Replace wood deoking
CJ Add 1 layer of roofing to thc c;l;hltillg
This work is being done due to Cl Hnil Damage
Cl Multi.Fnmily
CJ Rental
o Commercial
D Industrial
laycr(R) on D houae, D garage
Cl Other
SIDING
C1lnstnll siding on CI house. CI gllmge
o Rcplllcingvinyl with vinyl
D Replacing atccl or aluminum with vinyl (eircle Alec! or aluminum)
o Reploeing with
This work is being done duc to 0 Hail Damage Cl Other
When siding is done, one of the boxes below must be checked:
1) 0 Elcctric - Existing Electric Meter. reccptacle. lighting and Electric Service entrance alterations/modifications are being performed
by
(Name (If Licc.nllCd Electric Cootra~or)
~ U Electric lnstallation Verification form isattRched OR
LI Sepll1'llte Elect pennit will be requested.
2) CI Electric ,'" Not Applicable because: U J Blocks previously installed. uNo ouhlidc lights, _I Other
D ImrtaIl ncw or. D Replace gutter.;
o Install new or Cl Replace downspouts
Other related work being done: (please note)
Value of the job $ 3./ t./{)
~
(include fait market price for labor even ,fyou are not paying for labor)
03/02