HomeMy WebLinkAbout0152342 - Building (roof) CITY OF OSHKOSH No 152342
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1411 WHEATFIELD WAY Owner THOMAS R MATCZYNSKI
Create Date 09/13/2012
Designer
Contractor HICKEY ROOFING
Inspector Nicole Krahn
Category 041 -Residential Roofing
Plan
Type • Building O Sign 0 Canopy 0 Fence Raze
Zoning R-1 O — J
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
0 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 p
_ — #Structures 0
Use/Nature SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE-NO STRUCTURAL CHANGES
of Work "*debit acct
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
y� $9,580.00 Plan Approval $0.00 Permit Fee Paid
�%� f 1 ! ---- — $88.00 Park Dedication $0.00
Issued By: I
l/�� Date 09/13/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1341050000
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
—-- — - p (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.
Sep 07 12 02:14p HICKEY ROOFING
9202320354 p.21
City of Oshkosh
Inspection Services Division
PO Box 1130
Oshkosh,WI 54903-]130
Phone:(920)236-5050
Fax:(920)236-5084 O HKO H
Roofing & Siding Permit Application ��� ,f ✓hrFF
• Application(s)and fee(s)can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh Wl 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 lus the
normal permit fee, which ever is greater.
OR p
I .ou are a contractor •artici•atiri: in the Permit ee Account S stem and have ade•uate unds check here
i •ou want this rocessed throe:h our account
JOB ADDRESS IV1/4 / / •
OWNER / • -
GJ
CONTRACTOR�_� (/
I am the: ❑ Owner OR 4 Contractor
RE CATEGORY
ingle Family ❑Duplex ❑Multi-Family ❑ Rental
❑Commercial ❑Industrial
Work being done:
ROOFING
.Tear off and replace existing roofing^louse brgarage
❑Replace wood decking �'F'
❑Add 1 layer of roofing to the existing
This work is being done due to 0 Hail Damage ❑Other layer(s)on❑house,❑garage
SIDING
❑Install siding on ❑house. ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing
with
This work is being done due to 0 Hail Damage ❑Other
When siding is done,one of the boxes below must be checked:
bY
1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
(Name of Licensed Electric Contractor)
AND I 1 Electric Installation Verification form is attached OR C:Separate Elect Pcrmir will be requested.
2) ❑Electric—Not Applicable because: J J Blocks previously installed. H No outside lights. __Other___
❑Install new or❑Replace gutters
O Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job$
(include fair market price for labor even if you are not paying for labor) 03/02
Received Time Sep. 7. 2012 1 : 56PM No. 0751