HomeMy WebLinkAbout0152216 - building (roof) CITY OF OSHKOSH No 152216
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Owner GEORGE C HARRINGTON — — Create Date 09/10/2012
Job Address 212 ALLEN AVE — -
Designer —
Contractor HICKEY ROOFING
Inspector John Zarate
– — Plan
Category 041 -Residential Roofing
Type • Building 0 Sign ❑ Canopy — 0 Fence 0 Raze 1
Zoning R-1
Class of Const: Size
_—_—__
Height Ft. El Projections
Unfinished/Basement Sq.Ft. Rooms —
Stories Canopies
Finished/Living — Sq.Ft. Bedrooms _ ---
Signs
Garage _ _ Sq.Ft. Baths
Poured Concrete Floating Slab Pier 0 Other
Foundation � g
0 Concrete Block 0 Post O Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
#Dwelling Units 0 #Structures 0
Park Dedication Not Required — —
Use/Nature ISFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE ONLY,NO STRUCTURAL CHANGES **debit acct
of Work
Plumbing Contractor
HVAC Contractor
Electric Contractor
Fees: Valuation $4,3 0.00 Plan Approval $0.00 Permit Fee Paid $53.00 Park Dedication $0.00
Date 09/10/2012 Final/O.P. 00/00/0000
Issued By: � ___
❑ Permit Voided I Parcel Id# 1518570000
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. Date
Signature
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 your Name andyphof
Inspection (i.e. Footing, Service, Final,etc.),Access into Building if Secure(how do we gain entry),y
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.
Sep 07 12 02:02p H ICKEY ROOFING 9202320354 p.2
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1130
Phone: (920)236-5050 O.IHKOIH
Fax (920)236-5084
Roofing & Siding Permit Application HI-\•lA7FR
• 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 Si 00.00 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 rant this processed through your account
JOB ADDRE c 1-
OWNER
CONTRACTOR
I am the: ❑ Owner OR iXContractor
ISE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
„RI Tear off and replace existing roofing onKhcuse.❑garage
Cl Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to❑Hail Damage ❑Other
SIDING
❑Install siding on ❑house, ❑garage
Cl 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 alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND L Electric Installation Verification form is attached OR a Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: iii BIocks previously installed. _l 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 S I , 3c-0 {include fair market price for labor even ifyou are not paying for labor) 03/02
Received Time Sep. 7. 2012 1 : 56PM No. 0751