HomeMy WebLinkAbout0145935-Building (roof) CITY OF OSHKOSH No 145935
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1865 CLIFFVIEW CT Owner THOMAS J /LISA J ZELLMER Create Date 05/17/2011
Designer Contractor DAN V BINDER CONSTRUCTION
Inspector John Zarate
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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR / TEAR OFF AND REPLACE EXISTING ROOFING NO STRUCTURAL CHANGES * *debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation
� $4,200.00 Plan Approval $0.00 Permit Fee Paid $53.00 Park Dedication $0.00
Issued By: ��� � Date 05/17/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1524940000
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 1224 W SOUTH PARK AVE OSHKOSH WI 54902 - 6642 Telephone Number (920) 231 -2114
* 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.
ty of Oshkosh
lnspectron Services Division .
e OBox 1130
Oshkosh, W154903 -1130
0
PLone: (920) 236 -5050
Fax: (920) 236 -5034
Building Permit Application N W
}fyau want this aroce,Lre4 through . .r • • re p "II s � r °'' ' u- , he he e
.1411 ADDRESS
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OWNER i ,Li . A- 2 - C // ,,r
ef ..
eONTR&CTOR
i r � V. /3/,7.c..,-- tea , ; /,,,c—
1 am the: 0 Owner OR #.,ontractor .
USE CATEGORY .
OSiuxgle Family ❑Duplex ❑Multi- Family °Rental - °Commercial Olsidustrial
Work being done:
0 Addition G DecklPorcb/patio •
0 • Drivveway/Parking
External Remodeling 0 Fence/Hedge/Kennel 0 Garage/Utility Structure
0 Handicap Ramp 0 Hot Tub /Spa 0 Internal Remodeling
.0 Sign/Canopy/Awning ❑ Stairilandrail
❑ Stove/Fireplace
0 Swimming Pool 0 Wrecking Permit
Other 9,Q ` ____
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is accessary.
t2• Full description of work being done :_ /i ii o„� p ,-/- �� � � 4o)' •
•
• wok of included in this 9t'on is not neral ed�.
-
$lue of the job �plicanu. j (Yslue for materials and tabor is required to endure consistency in accessing permit ices for a11, .
E S Ge t & ATE •
1 certify the above information is complete and accurate. Any deviations
information may require additional permits to be obtained 1 acknowledge agree c to to these f errm
S terms. ' '
Name: — Di
41 (Please prim)
Signature; . Ago
Received Time May. 17. 2011 11:15AM No. 5691 , Date. 77 l