HomeMy WebLinkAbout0152589 - Building (roof) CITY OF OSHKOSH No 152589
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 753 N MAIN ST
---- —.- Create Date 09/24/2012
Project ROOFING
Project Number 0
Owner JERICHO ROAD MINISTRIES INC Plan
Contractor SPS ROOFING TBA T-BAG INDUSTRIES
Inspector John Zarate
Designer
Category 041 -Residential Roofing
— — -- Type of Plan
Zoning C-3
— — Square Footage _
Major Occ
--- Const Class
Fire Protection 0 Sprinkled 0 Unsprinkled I Sprinkler Design
Occupancy Permit Not Required Flood Plain
Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures
❑ Projection Canopies Signs
Use/Nature
of Work
COMM(LATE PERMIT)/TEAR OFF AND REPLACE EXISTING ROOFING AND INSUALTION AND INTALLING NEW-NO STRUCTURAL
CHANGES **check#7808
HVAC Contractor — — Plumbing Contractor
Electric Contractor
Fees: Valuation $38,500.00 Plan Approval $0.00 Permit Fee Paid $203.50 Park Dedication
} $0.00
(ICJ
Issued By: Date 09/26/2012
Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1006540000
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 642 MAIN ST NEENAH WI 54956 - 2472 Telephone Number (920)739-7663
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.
0 City of Oshkosh P O Box 1 130
J '` Oshkosh, WI 54903-1130
Phone:(920)236-5050
Building Permit Application Fax:(920) sh.wi.us
www.ci.oshkosh.wi.us
Project
Address
ellf= Owner Contrac.. • Tenant
Other(describe)
Owner/ �`
Tenant Name ` '/<._�. -.e i L ‘d R0�
lcr� i ophone 01 j " , ?6
•
Address . w er
Contractor Email
Company Name Q
Y Phone !020 23�- 70 w
Contact CC.-K /
Email 4./k, 5 p ,.
Yo2 Met ,r / .
Address � � p�(Q
State Credential #'s 1 (37? 7 7 7
Dwelling Contractor Qualifier# l
Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name
ame
4 Phone
Contact
. Email
Address
Permit Type Residential Single Family Residential Duplex P Commercial Multifamily Industrial
Category New Addition Alteration
Project
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Description 6 G' l �CoEk— _� �tnSZ �t ��,�
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am. �
Mechanical Separate permits will b- .b .• A' the following:
Permits Electrical by
Plumbing by Heating by
Value of Job $______3 `5Q
y (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check #
Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained I ackfnowledge gree to these terms.
lC
Name: Ai/t_ ,,, ct S. �?
—.NI, print) Date: / t 02.Signature: