HomeMy WebLinkAbout0151818 - Building (roof) CITY OF OSHKOSH No 151818
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER Create Date 08/20/2012
Job Address 340 HAWK ST Owner THOMAS J/JODI K RUCINSKI
Designer
Contractor ALL ABOUT EXTERIORS
Inspector Nicole Krahn Plan
Category 041 -Residential Roofing
Type • Building O Sign O Canopy 0 Fence 0 Raze
Zoning R-1 Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms
Height Ft. El Projection I
Finished/Living Sq.Ft. Bedrooms
Stories Canopies
Signs
Garage Sq.Ft. Baths
Foundation Poured Concrete 0 Floating Slab O Pier O Other
0 Concrete Block O Post O Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units
0 #Structures 0
Use/Nature ISFR\Tear off and install roof-hail.
of Work
Plumbing Contractor
HVAC Contractor
Electric Contractor
Fees: Valuation $6,745.44 Plan Approval $0.00 Permit Fee Paid $67.00 Park Dedication $0.00
Date 08/20/2012 Final/O.P. 00/00/0000
Issued By:
❑ Permit Voided Parcel Id# 1609740000
In the performa - .f this work I agree to perform all work pursuant to rules governing the described construction.
While the Cit o •shko - as no autho ity to enforce easement restrictions of which it is not a party,if you perform the work
described in l's pe it application with' an easement,the City strongly urges the permit applicant to contact the easement
holder(s)a . to -ecure an necessary approvals before starting such activity. t
I have re •n n
unders d the -fore mentioned information.
Date g "° )
Signat,re
Agent/Owner
Addre 1623 WEST AVE LA CROSSE WI 54601 - 0000 Telephone Number 608-784-7663
Inspection schedule inspections Service, Final,etc.),Access into Building if Secure(how the Address,
we gain entry),your Number,Type of Phone
N spection(i.e. Footing, doh ,
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.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1130 Of HKOlH
Phone:(920)236-5050
Fax:(920)236-5084 ON THE WATER
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account n
JOB ADDRESS I S I-1 " K 1 05 X19s-17 wI 5 7 Di--
OWNER ."3"—C7 4+RI V� '.'` !' 2, _ r
CONTRACTOR A'1 I �'$c v 6 X14 " `,0,(3
I am the: ❑ Owner OR Contractor
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
Tear off and replace existing roofing on❑house,❑garage
Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to y Hail Damage ❑Other
SIDING
Install siding on house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to/4 Hail Damage ❑Other
When siding is done,one of the boxes below must be checked:
1) Yam Electric—Existing Electra Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
(14'(N►� ?v E� i' . 5e,,(1/t L4
(Name of Licensed Electric Contractor)
AND C Electric Installation Verification form is attached OR C Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. ❑Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $a of Y/V 1/-r 3 7 (include fair market price for labor even if you are not paying for labor) 03/02
ct1-