HomeMy WebLinkAbout0132436-Building (roof)CITY OF OSHKOSH No 132436
OSHKOSH
ON THE WATER
Job Address 1105 BALDWIN AVE
Designer
Category 141 -Exterior Remod
BUILDING PERMIT -APPLICATION AND RECORD
Owner RICHARD POLLOCK
Contractor KOWALSKE ROOFING
Plan
Create Date 08/11/2008
Type ~ Building ~ Sign ~ Canopy ~ Fence 0 Raze
Zoning Class of Const: Size
Unfinished/Basement Sq. Ft. Rooms Height Ft. ^ Projection
FinishedlLiving Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation ~ Poured Concrete ~ Floating Slab ~ Pier ~ Other
Concrete Block ~ Post ~ Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain
Park Dedication # Dwelling Units 0
Use/Nature
of Work
Height Permit
# Structures 0
FR (LATE PERMIT) /TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE ONLY, NO STRUCTURAL CHANGES
HVAC Contractor
Electric Contractor
Fees: Valu ~on~'
Issued By: ~ _l l
Plumbing Contractor
Plan Approval $0.00 Permit Fee Paid $160.00 Park Dedication $0.00
Date 08/25/2008 Final/O.P.00/00/0000
^ Permit Voided
Parcelld # 1110080000
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.
I have rea stand the afore mentioned information.
Signature ~,,,.._~n ~l ~.,~~ Date ~ s3/
AgenUOwner
Address 1320 COLUMBIA AVE OSHKOSH WI 54901 - 2139 Telephone Number 920-233-4695
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.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050 O~HKO.lH
Fax: (920) 236-5084
Roofing & Siding Permit Application ON THE WATER
• 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 DarticiDating in the Permit fee Account System and have adequate funds check here
if you want this Drocessed through vour account n
JOB ADDRESS %/C! ~ ~ a Z,p ~.~ ~~ ~ ~`
CONTRACTOR l~r~•w~/A ~..~ ~~
I am the: ^ Owner OR ~ Contractor
U~Sr~ CATEGORY
J,~i Single Family ^ Duplex ^ Muhi-Family ^ Rental ^ Commercial ^ Industrial
Work being done:
ROOFING
^ Tear off and replace existing roofing on~ house, ^ garage
^ Replace wood decking
^ Add 1 layer of roofing to the existing
This work is being done due to ^ Hail Damage ^ Other
SIDING
^ Install siding on ^ house, ^ garage
^ Replacing vinyl with vinyl
^ Replacing steel or aluminum with vinyl (circle steel or aluminum)
^ Replacing with
This work is being done due to ^ Hail Damage ^ Other _
layer(s) on ^ house, ^ garage
When siding is done, one of the boxes below must be checked:
1) ^ Electric -Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND ^ Electric Installation Verification form is attached OR ^ Separate Elect Pemut will be requested.
2) ^ Electric -Not Applicable because: ^ J Blocks previously installed. ^ No outside lights. ^ Other
^ Install new or ^ Replace gutters
^ Install new or ^ Replace downspouts
Other related work being done: (please note)
~-
Value of the job $ .5'>C'r-) ,~ (include fair market price for labor even if you are not paying for labor) 03/02