HomeMy WebLinkAbout0142218-Building (roof) CITY OF OSHKOSH No 142218
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1920 HAMILTON ST Owner AMANDA B LEATHERMAN Create Date 07/26/2010
Designer Contractor HOME PRO ROOFING LLC
Category * 141 - Exterior Remodeling Plan
Type • Building 0 Sign 0 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 $4,187.00 Plan Approval $0.00 Permit Fee Paid $53.00 Park Dedication $0.00
Issued By: f& Date 07/26/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1213510000
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.
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.
City of Oshkosh LOIZ ' °N WdEZ Ol OIOV'rinf awil pan. a°a
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Inspection Services Division
POBox 1130
Oshkosh, W154903.1130 �� � ���~
Phone: (920) 736 -5050
Fax; (920) 236-5084
Roofing & Siding Permit Application
can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Bo 1128, p8 the Application(s) hkoh WI and fee(s) work without perrnit(S) will result in fees being
Oshkosh VVY 54903 -1128. Commencing
normal permit fee, which ever is greater.
OR ve ad : • nets funds. check here,
I ar a co tr • ct es, ad r hro n th / o . r account CI'
A c it q ste a d
nu a 1 t it s ro
JOB ADDRESS / 1—
� 00 f i n
CONTRACTOR
Pro
am the 0 Owner OR XContractot
Sr O CATEGORY 0 Rental 0 Commercial 0 Industrial
Family D Duplex ❑ Multi- Family
Work being done:
ROOFING
ear off and replace existing roofing onXhouse, urge
0 Replace wood decking
0 Add 1 last- of roofing to the existing _-- --__—'
laycr(s) on 0 house, 0 garage
This work is being done due to 0 Hail Damage 0 Other
SIDING
0 Install siding on 0 house, 0 garage
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 Cl Other
When siding is done, one of the boxes below mast be checked:
1) 0 Electric — Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being piafformed
bY
(Nano of Lioeewed Electric coeuauar) Separate Elect Permit will be requested.
AND Electric Installation Verification tort is attached a 0 Se
2) 0 Electric —Not Applicable because- Cl 1 Mocks previously idled. 0 No outside lights. 0 Other
0 Install new or 0 Replace gutters
0 Install new or 0 Replace downspouts
Other related work being done: (please note)
V price for labor even if you arc not paying for labor) 03/02
Value of the job (include fair market pr Y
30 /Z9 39dd Oeld 3'40H 6ZS9L5L0Z6 Et' :E0 9002/9Z/S0