HomeMy WebLinkAbout0146805-Building (roof) CITY OF OSHKOSH No 146805
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1851 DOTY ST Owner DON UJOYCE J THURWATCHER REV TRUST Create Date 07/13/2011
Designer Contractor HICKEY ROOFING
Inspector Nicole Krahn
Category * 141 - Exterior Remodeling Plan
Type "I 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 HOUSE ONLY, NO STRUCTURAL CHANGES * *debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $7,375.00 Plan Approval $0.00 Permit Fee Paid $74.00 Park Dedication $0.00
Issued By: 8 • Y - Y --' Ls; -- Date 07/13/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1401630000
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.
112 11 09:11a HICKEY ROOFING 9202320354 p.1
City of Oshkosh
0
Inspection Services Division
POBox 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 1D /1- KOJ H
Fax: (920) 236 -5084 01 ri4F %MAUFR
Roofing & Siding Permit Application
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or 8100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit ee Account System and have adequate funds, check here
if you want this processed through your account
JOB ADDRESS / " b 1.- 6 ' 4 -
OWNER r 4n .
CONTRACTOR /" ° // )
I am the: ❑ Owner OR ( LI Contractor
S U E CATEGORY
ingle Family ❑ Duplex ❑ Multi - Family ❑ Rental is Commercial ❑ Industrial
Work being done:
ROOFING 1
etiTear off and replace existing roofine o. house, ❑ garage
❑ Replace wood decking
❑ Add 1 layer of roofing to the existing layer(s) or. ❑ house, ❑ garage
This work is being done due to 0 Hail Damage ❑ Other
SIDING
❑ Install siding on ❑ house, ❑ garage
❑ Replacing vinyl with vinyl
O 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 Meter, receptacle, lighting and Electric Service entrance alterationsimodifications are being performed
by
(Name of Licensed °Iectric Contractor)
AND I Electric Installation Verification form is attached OR ll Separate Elect Permit will be requested.
2) ❑ Electric —Not Applicable because: J Blocks previously installed. No outside lights. III Other
❑ Install new or ❑ Replace gutters
❑ Install new or ❑ Replace downspouts
Other related work being done: (please note)
Value of the job $ 9) 3 S (include fair market price for labor even if you are not paying for Iabor) 03/02
Received Time Jul. 12. 2011 9:08AM No. 6313