HomeMy WebLinkAbout0151689 - Building (roof) (.!D CITY OF OSHKOSH No 151689
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2105 SHERIDAN ST Owner XA MOUA/NENG LOR Create Date 08/13/2012
Designer Contractor AMERICAN DREAM HOME IMPROVEMENT INC
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type • Building O Sign 0 Canopy O Fence O Raze
Zoning R-1 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 O Pier O Other
O Concrete Block O 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
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6, 32.00 Plan Approval $0.00 Permit Fee Paid $67.00 Park Dedication $0.00
Issued By: Date 08/14/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1212580000
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 and stand t e afore me ned information. ��JJ
Signature �✓s Date O8 "l'Y'` /2J
Agent/Owner
Address 150 S SUNNY SLOPE RD BROOKFIELD WI 53005 - 5714 Telephone Number (262)797-0900 EXT
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.
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Inspection Services Division
Box 1 130
Oshkosh, WI 5490;-1134
Phone: (920)236-5050
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Fax:(920)236-5084
Roofing & Siding Permit Application 'Hi WATER
• 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$100.00 plus the
normal permit fee;which ever is greater.
OR
It ynu area contractor artici atin e in the Permit fee Account System and have adequate funds check here
if you wan! this processed through Your account fl
JOB ADDRESS i Z/O ��S// t IL /7)//A 4/
it '
OWNER L-/C� C 0 01/4
CONTRACTOR At•
I am the: ❑ Owner OR Contractor
USA CATEGORY
❑Single Family 0 Duplex ❑Multi-Family ❑Rental 0 Commercial 0 Industrial
Work being done:
ROOFING
1 Tear off and replace existing roofing on gr house,❑garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on 0 house,0 garage
This work is being done due to 0 Hail Damage 0 Other
SIDING
0 Install siding on 0 house, ❑garage
❑Replacing vinyl with vinyl
0 Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to 0 Hail Damage ❑Other
When siding is done, one of the boxes below most be checked:
I) 0 Electric-Existing Electric Meter,receptacle, lighting and Electric Service entrance alterations/modifications arc being performed
by
(Name of Licenses!Electric Contractor)
AND i3 Electric Installation Verification form is attached OR ❑Separate Elect Permit will he requested.
2) 0 Electric-Not Applicable because: I.I J Blocks previously installed, Q No outside lights. LI Other
0 Install new or 0 Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please not)
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