HomeMy WebLinkAbout0143298-Building (roof) CITY OF OSHKOSH No 143298
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1735 HAZEL ST Owner DENNIS L BARGENQUAST Create Date 09/24/2010
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 $7,457.00 Plan Approval $0.00 Permit Fee Paid $74.00 Park Dedication $0.00
Issued By: G rixo Date 09/24/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1510430000
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.
ity of Oshkosh �56Z' °N � 'd
WdL0�6 OIOleg awij pani
ispection Services Division
' 0 Box 1130 �'l► r
)sbkosb, W154903 -1130 .
'hone: (920) 236 -5050
roc: (920) 236 -5084
Roofing & Siding Permit Application
and fee(s) can b brought to City Hail, Room 205 or mailed to Inspection Services, PO Hoc 1128,
• Application n 112 w ork w ithout permit(s) will result in fees being doubled or $100.00 plus the
Oshkosh W1 54903-1128. Commencing P
normal permit fee, which ever is greater.
OR . c o rwt S sic an � � eve ada r a' t" nd c eck herd
ou ar • a co tr , ctor ,a tics , atin _ in the • ernrit e
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JOB ADDRESS
n ' s ci r • e n ' (ICS
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OWNER r
CONTRACTOR
1 am the: i Owner OR ,Contractor
U CATEGORY
Y 4luplex p Multi - Family 1:1 Rental 0 Commercial 0 Industrial
f� S - tngle Family
Work being done:
ROOFING
ear off and replace existing roofing one Serge
0 Replace wood decking
❑ Add 1 layer of roofing to the existing
layer(s) on 0 hAUSC, ❑ garage
This work is being done due to is Hail Damage ❑ Other
SIDING
❑ Install siding on 0 house, 0 garage
O Replacing vinyl with vinyl
O 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) 0 Electric — Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modrfieations are being performed
bY
Mrone orLieeaaed Meath, ia> Elect Permit will be requested.
/ice 0 Electric Installation Verification form is attached OM ❑ Separate
2) 0 Electric —Not Applicable because: 0 3 Blocks previously installed. fl No outside lights. n Other— _
D Install new or ❑ Replace gutters
0 Install new or ❑ Replace downspouts
Other related work being done: (please note)
in for labor) 03/02
'Value of the job
(include fair market price for labor even if you are not paying
IO /I0 3Jdd Odd 311OH 6Z99L9LOZ6 8Z -Z0 9002 /DZ /L0