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HomeMy WebLinkAbout0133658-Building (roof) CITY OF OSHKOSH No 133658 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1416 OHIO ST Owner LORRAINE J BLOESL LIFE ESTATE Create Date 10/22/2008 Designer Contractor BEULEN & SONS CONSTRUCTION LLC Category 141 -Exterior Remodeling Plan Type ~ Building Q Sign Q Canopy Q Fence Q Raze Zoning Class of Const: Size Unfinished/Basement Sq. Ft. Rooms Height Ft. ^ Projection Finished/Living Sq. Ft. Bedrooms Stories Canopies Garage Sq. Ft. Baths Signs Foundation ~ Poured Concrete Q Floating Slab Q Pier Q Other Q Concrete Block Q Post Q Treated Wood Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use/Nature of Work FR /Tear off and replace roof on house. HVAC Contractor Electric Contractor Fees: Valuation Issued By: Plumbing Contractor $0.00 Permit Fee Paid $60.00 Park Dedication $0.00 Date 10/23/2008 Final/O.P.00/00/0000 ^ Permit Voided Parcel Id # 1301000000 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 read and understan of n1t~-ediFFfOrFnat of n. _ ~ Signature _ ~ ~~ e~~ /%' ~ ""~.~.M --> Date ~ ~~`,C' % SI~CJ Address 246 E SCOTT ST AgentlOwner OMRO WI 54963 - 0000 Telephone Number 920-685-5801 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. $5,500.00 Plan Approval City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 O1HKOf H Fax: (920) 236-5084 ON 7HF WATER Roofing & Siding Permit Application • 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 participating in the Permit fee Account System and have adequate funds check here tf you want this processed through your account f l JOB ADDRESS ,/ ~'`~/~117 jai` ~'.1 !!~ j % ~ ~i ~f~ ~%~f/ }~ , OWNER ~c~ i~~~L'/~ C~ / )l ~.~ c;-"S .~ ~ 7 CONTRACTOR / ~~~( ~ ~ ~ ~ j~;J > ~~.> >y C ~ ~ I am the: ^ Owner OR contractor USE CATEGORY ~ingle Family ^ Duplex ^Mu1ti-Family ^ Rental ^ Commercial ^ Industrial Work being done: ROOFING ear off and replace existing roof~ng on~house, ^ garage ^ Replace wood decking ^ Add 1 layer of roofing to the existing This work is being done due to ^ Hi~il Damage SIDING ^ Install siding on ^ house, ^ garage ^ Other ^ Replacing vinyl with vinyl ^ Replacing steel or aluminum with,vinyl (circle steel or aluminum) layer(s) on ^ house, ^ garage ^ Replacing _ with This work is being done due to ^ Heil Damage ^ Other When siding is done, one ~f the boxes below must be checked: 1) ^ Electric -Existing Electric lU)eter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed by (Name of Licensed Electric Cont ctor) AND ^ Electric~Installation Verification form is attached OR ^ Separate Elect Permit will be requested. 2) ^ Electric -Not Applicable becaihzse: ^ J Blocks previously installed. ^ No outside lights. ^ Other, ^ Install new or~b'Replace gutters ^ Install new or~eplace downspouts Other related work being done: (Tease note) Value of the ob $ ~ ,~ C;~~`"~"J J _~_~______, (include fair market price for labor even if you are not paying for labor) 03/02