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Home My WebLink About2010-Building (roof) CITY OF OSHKOSH No 143908 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2065 2075 S WASHBURN ST Owner RIVIERA VENTURES LLC Create Date 11/02/2010 Designer Contractor HICKEY ROOFING Category * 141 - Exterior Remodeling Plan Type • Building 0 Sign 0 Canopy 0 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 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 COMM / Tear off and reshingle roof. * *debit acct of Work HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $14,889.00 Plan Approval $0.00 Permit Fee Paid $118.00 Park Dedication $0.00 Issued By: Date 11/02/2010 Final /O.P. 00 /00 /0000 Ej Permit Voided Parcel Id # 1326040201 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 1427 BROAD ST OSHKOSH WI 54901 - 3047 Telephone Number (920) 426 -4008 * 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. st 2710 08:43a HICKEY ROOFING 9202320354 p.1 /a / c - /./ U City of Oshkosh Inspection Services Division POBox 1130 0 Oshkosh, WI 54903 - 1130 ��/ Phone: (920) 236 - 5050 �l I k\UJH Fax: (920)236 -508 Roofing & Siding Permit Application • Application(s) and fee(s) can be brought to City Hall, Room 205 or/nailed 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 a Account System and have adequate funds, check here if you want this processed through your account hi w JOB ADDRESS odd OWNER '(- 4 I = — — - -- CONTRACTOR A % e/ -- _______ I am the: ❑ Owner OR , _ ,/ Contractor 4 . CATEGORY ingle Family ❑ Duplex ❑ Multi- Family ❑ Rental Commercial ❑ Industrial Work being done: ROOFING / Tcar off and replace eiing rooting on 0 hoe, O garage ❑ Replace wood decking ❑ Add 1 layer of roofing to the existing laver(s) on 0 house, ❑ garage This work is being done due to ❑ Hail Damage ❑ Other SIDING ❑ Install siding on 0 house, ❑ garage 0 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 When siding is done, one of the boxes below must be checked: 1) ❑ Electric - Existing Electric deter, receptacle, lighting and Electric Service entrance alterations/modifications arc being performed bY (Name of Licroscd Electric Contractor) AND J Electric Installation Verification form is attached OR LI Separate Elect Permit will be requested. 2) ❑ Electric —Not Applicable because: U3 Blocks previously installed. I_1 No outside lights. L' Other_ 0 Install new or 0 Replace gutters ❑ Install new or 0 Replace downspouts Other related work being done: (please note) C� / �� Value of the job $ 1�e, (include fair market price for labor even if you are not paying for labor) 03/02 Received Time Oct, 27. 2010 8:41AM No. 3455