HomeMy WebLinkAbout0146135-Building (roof) CITY OF OSHKOSH No 146135
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 906 W 18TH AVE Owner SCOTT J /CINDY SCHAICK Create Date 06/01/2011
Designer Contractor DAN V BINDER CONSTRUCTION
Inspector Nicole Krahn
Category * 141 - Exterior Remodeling Plan
Type • Building O Sign O Canopy O Fence O 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 O 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 attached garage. * *debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $39.00 Park Dedication $0.00
Issued By: Date 06/01/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1410080200
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.
L -n Oshkosh
on n Services Division
O Box 1 130
•
Oshkosh, WI: 54903-1130
Plow: (920) 236 -3030
Fax: (920) 2364094
Building Permit Application ST /: : KOT
lI yam want !his Droe ,.rad tkroash your account ;
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.SOB ADD 9fro !e Gc.. / " / c1 •
OWNER
fOld7RACTOR T &Y V 4/ Co
. 1 am die: D Owner OR j41 Contractor
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"USE CATEGORY
RSingle Family CDuplex C]Multi- Familx ORental ' [Commercial Okidustriel
Work being done:
0 Addition - 0 Deck/Porch/Patio 0 Driveway/Parking
Rummel Remodeling 0 Fenoe/Hedge/ el 0 Garage/Utility structure
•
• .0 P p 0 Hot Tub/Spa 0 Gunnel Remodeling
.0 Slip/Canopy /Awning 0 Stair/Handrail 0 Stove/Fireplace
0 Swimming Pool 0 Wrecking Pertait
Additional information, suck as plan submittal and approval, may be required before issuance. Filers,
located in the hallway, may be referenced to vote if any additional information is necessary.
Full description of work being done: ;
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Valve of the Job coo. (Value materiels arid hear 1.
pplicanu i requited to {� '!� tai *a for W
'LEASE READ, SIGN. &DATE:
I cent& the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained 1 acknowledge and agree to these terms. • ,
Name: ✓t an i:t Ver-
(Mir
Signature:
I 073 �- 1 Y
Received Time Jun, 1. 2011 7:01AM No. 5851 . -fi e'