HomeMy WebLinkAbout0142217-Building (roof) CITY OF OSHKOSH No 142217
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 802 W 8TH AVE Owner DOUGLAS L MILIUS Create Date 07/26/2010
Designer Contractor HOME PRO ROOFING LLC
Category * 141 - Exterior Remodeling Plan
Type • Building 0 Sign Q Canopy 0 Fence 0 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 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR / Tear off and replace roof on house and garage. **debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,861.00 Plan Approval $0.00 Permit Fee Paid $67.00 Park Dedication $0.00
Issued By: a Date 07/26/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 0605410000
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 understand the afore mentioned information.
Signature Date
Agent/Owner
Address W6783 CENTER VALLEY RD SHIOCTON WI 54170 - 8950 Telephone Number (920) 544 -7107
* 141 - Exterior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500 -113 on the DNR
Asbestos Program website; http: / /dnr.wi.gov /air /compenf /asbestos /. For additional information on hazards present in buildings see
the Pre- Demolition Environmental Checklist at http: / /dnr.wi.gov /org /aw /wm /publications /anewpub /WA651.pdf
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.
LOIZ ' °N WdE6 :01 Ol0176 lnr sand pan' a°aa
;ity of Oshkosh
nspection Services Division
'O Box 1130 r,�• rr W.
)shk�, W154903.113 i�,.
?hose: (920) 236-5050 �•• � .
Fax: (920) 236-5084
Roofing & Siding Permit Application
ht to City Hall, Room 205 or mailed to Inspection Services, PO Bo 00 p8 the
• Oshkosh Application(s) and -112 can be Commencing work its will result in fees being
Oshkosh WI 54903 -1128. Commencing work without perm ( )
normal permit fee, which ever is greater.
OR
u .re a an rpet • r i art 1Ct i ctt ee Aceo nt S rem •n • h • ve ode' u' t : tins check ,are
� ' , � 1 i
ou wont his •roc s:ed thro _
� `� ____ALLe_.■ _...—.---______—
SOB ADDRESS
CONTRACTOR
1�7 k R - n
1 am the C] Owner OR %Contractor
R CATEGORY ❑ Commercial ❑ Industrial
EE ❑ Duplex ❑ Multi- Family ❑ R"
nnste Family
Work being done:
ROOFING
36ear off and replace existing
roofing o ouse, e
0 Replace wood decking layer(s) on house, d garage
0 Add l layer of roofing to tho existing
This work is being done due to ❑ Hail Damage D Other
SIDING
0 Install siding on Cl house, O ir
0 Replacing vinyl with vinyl
0 Replacing steel or aluminum 'with vinyl (circle steel or aluminum)
0 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) ❑ Electric – Existing Electric Nor, receptacle, lighting and Electric Service entrance alterations/modifications are being pertbrmed
bY
(Neale of Liceai el aa>ic Coantacter) Elect Permit will be requested.
AND 0 Electric Installation Verification form is attached OR 0 Separate
2) ❑ Electric – Not Applicable because: 0 7 Blocky previously installed. 0 No outside lights. 0 Other
0 Install new or 0 Replace gutters
❑ Install new ur ❑ Replace downspouts
Other related work being done: (please note) _
Q
'Value of the job .„_„_ V (elude lair market price for labor even if yo u are not paying for labor) 03/02
Z0 /ZO 39t7d Oeld 3WOH 6Z59LSLOZ6 £b t£0 900Z/9Z/50