HomeMy WebLinkAbout0146338-Building (roof) CITY OF OSHKOSH No 146338
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1255 N EAGLE ST Owner EVERGREEN MANOR INC Create Date 06/14/2011
Designer Contractor DAN V BINDER CONSTRUCTION
Inspector Nicole Krahn
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 Not Required
Park Dedication Not Required # Dwelling Units 0 # Structures 0
Use /Nature SFR / TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE ONLY, NO STRUCTURAL CHANGES **debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 $3,000.00 Plan Approval $0.00 Permit Fee Paid $39.00 Park Dedication $0.00
Issued By: t; Ey r Date 06/14/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1608640000
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.
•
y of aahlcoch
•
action Services Division -
PO Box 1i30
410W
Oshkosh, WI 54903-1130
•
Phone: (910) 236-3060
for: (920) 236-5084
Building Perr�nit �T rl �OT
Application -
AoB Aun> s /VC
OWNS _ Et/C_ /GG f.e.÷.1 7 sic( / .
,CONTRACTOR � J� . , l9i '�/ C r —
=> 1 am the: Q Owner OR 1 Contractor
USE CATEGORY )thSingle Family ODuplex DMulti•Farnily ❑RMntal ' DCommercial Inlra3ustriatl
Work being doge:
0 Addition - o Deck/Porch/Patio in Driveway/Parking
:7:External Remodeling 0 PentelHedgelgannel 0 Garage/ Utility Strucuue
0 Handicap 0 riot Tub/Spa 0 Internal Remodeling
' •0 S c opy 0 Stair/l:Iaadteil
0 Stove/Fireplace
❑
Swimming Pool 0 Wrecking Permit
Other
Additional information, suck as plan submittal and approval, may be required before Issuance. Fliers,
located la the hallway, may be referenced to note if any addidonal information is necessary.
$ X11i1 description of work being done: ' u o f e — e 17.1 5k
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• tided In !his upirati
Paue of the job 140, a. �
(Value for materials and lobar Is awaited to cossakney bk_ccu .►s Permit tar.
Y T
I caartify 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 terns.
Name: - 1', froj, . 3J4
Muse print)
Received Time . Jun. 13. 2011 3:08PM No. 6008 • - bate: - 1 /13 �_