HomeMy WebLinkAbout2012-Building (roof) CITY OF OSHKOSH No 152185
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 316 SUNNYBROOK DR Owner MATTHEW/BEVERLY HOFFMAN Create Date 09/05/2012
Designer Contractor HICKEY ROOFING
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan _
Type • Building O Sign 0 Canopy 0 Fence 0 Raze _ J
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 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(LATE PERMIT)/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE, NO
of Work STRUCTURAL CHANGES **debit acct
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $9,724.00 Plan Approval $0.00 Permit Fee Paid $188.00 Park Dedication $0.00
Issued By: 5I� Date 09/07/2012 Final/O.P. 00/00/0_0_00
❑ Permit Voided] Parcel Id#0622500000
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
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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ill p 07 12 08:48a HICKEY ROOFING r 9202320354 ,ff.-4C_,
City of Oshkosh "j4-1(/' t �� Y '
Inspection Services Division
nh 1130
I
Oshkosh,kosh,WI 54903-i 130 f
Phone:(920)236-5050
Fax:(920)236-5084 o. +cOJH
Roofing & Siding Permit Application -HIF\"AIFR I�
• 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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor Participating in the Perm"tee Account System and have adequate funds, check here
if you want this processed throueh your account(y(l
JOB ADDRESS •3 I ,/ 2 1-3 k-6 71.1C
OWNER ))1 ! y "
CONTRACTOR 07-6k41 1
I am the:
❑Owner OR � ntractor
USE CATEGORY
Single Family ❑Duplex 0 Multi-Family El Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
!Fear off and replace existing roofing o house, arage
❑Replace wood decking
❑Add I layer of roofing to the existing layers)on❑house,0 garage
This work is being done due to❑Hail Damage ❑Other
SIDING
❑Install siding on 0 house. 0 garage
El Replacing vinyl with vinyl
El Replacing steel or aluminum with vinyl(circle steel or aluminum)
0 Replacing with
This work is being done due to 0 Flail Damage ❑Other
When siding is done,one of the boxes below must be checked:
1) ❑Electric—Existing Electric Meter;receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name or Licensed Electric Contractor)
AND Ii Electric Installation Verification Form is attached OR J Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: L]J Blocks previously installed. _.No outside lights. Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job$ I 7
1 (include fair market price for labor even if you are not paying for labor) 03/02
Received Tlme Sep. 7. 2012 8:42AM No. 0745