HomeMy WebLinkAbout2012-Building (roof) CITY OF OSHKOSH No 152643
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 919 WISCONSIN ST
Owner REGINAAGRUSE
Create Date 09/27/2012
Designer Contractor TOUBL CONTRACTING INC
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Inspector John Zarate - - —
Category 041 -Residential Roofing
Plan
Type Building Sin ---- -
0 Sign ❑ Canopy ❑ Fence ❑ Raze
Zoning R-5
Class of Const:
Size
Unfinished/Basement
Sq.Ft. Rooms Height Ft. -- ti -
Finished/Living ----- ❑ Projection
Sq.Ft. Bedrooms Stories
Garage - - - - Canopies
Sq.Ft. Baths
Signs
Foundation • Poured Concrete 0 Floating Slab O Pier O Other
0 Concrete Block 0 Post O Treated Wood
Occupancy Permit Not Required Occupancy Fee
- - $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required
#Dwelling Units 0 #Structures
Use/Nature SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE ONLY-NO STRUCTURAL CHANGES 0
acct
of Work
HVAC Contractor
- —_ Plumbing Contractor
Electric Contractor
Fees: Valuation $ 500.00 Plan Approval
(-� $0.00 Permit Fee Paid $60.00 Park Dedication $0.00
Issued By: - - --_ --
Date 09/27/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0502090000
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 2028 W 9TH AVE OSHKOSH WI 54904 - 8072 Telephone Number 608-436-9059
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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City.of Cishkosit i , I i
Itisspekttiiiii•seiviee§D •-:on i I ! ,
P OBox 1130 _
Oshkosh,WI 54903-1130 I : 1
,PhOne:(920)236-5051 I I . I -r
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Fax:(920)236-50g4 I : if
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I 1 , Rdofil ng & Siding Permit ApplitatIon 1
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• ApplicatiOn(s) ; id•fee(s)can be b!rought to City Hall,Room 205 or mailed tp Inspection erv,ipes,PO'Box 1128,
Oshkosh WI 5'90-11128. Conunencing work without pennit(i)will result.in fees.being'doubled or S100.00 plus the
normal permit *-- lwhic4 ever is greater.
• •u are a op, a tort'art ',• irit in ,, Permit -= 'ecoi,i nt ,t-m;and ,::t = tujle• a nds , -ck he =
- want thi2 '7/esSed th • -' our • ,ient •
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JOB ADDRFSS all i i ki/Se 14:pot ii, c:71.. :
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OWNER /7t :Ai a 1 44.e
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CONTRACTOR ' 04J / ;691p_/ea eli1
..5 •60 •10- 1 E-32 I
I am the: lil Owner I OR Contractor
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iogie Family
C]quP)/ex' i muttt-Family 0 Rental 0 Commercial ' 0 industrial
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Work being done: I i 1 I
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ROOFIN / 1 ; I
accar off,..d repla4e+cisting zoo' onP house;CI garage
11 Replace ...,devilling
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0 Add I 1: .r of rooriog tothe existing ./
hiyer(s)on 1:1 Wiese,0 garage
This work is , ' dreidue to CI I.'ail Damage . 0 Other
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snANG
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n/flea si...• i 0 lboosc, 91garage /
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13 Replacing vinyl with vinirl
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0 Replacing steel orals witL vinyl(circle steel or aluminum)
CIReplacing I it_ : i with .
This work is . ig dOne:due to 0 Iiail Damage CI Other
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Whit!Si i inf isj One,on of the boxes below must be che,eked: ! ,
1) 17 1E •-•• .*c 7-Existing Electric'Meter,receptacle,lighting and Electric Service entrance alteration:I/modifications are being performed
bY oLicomoi
I u'e ANDEIC'i Electric Installation Verification form is attached Qg' CI Separate Elect 'er:iiaIt will be requested.
2) 0 El- .' —N4Plicable beC•ause: D 1 Blocles previously installed. 0 No outside lights.;C Otlicilr
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0 Install new or 0 Rol"-- glitteis 1
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0 Install new or El '.lir'. clOwnsnOurg
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Other related w'rk beh*done. (please note)
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Value of thejo• $I<I, 'Oil,. 41 6 anchxle fair olarkd PriW for labor ev'ett. you are not pang for Oborl ) 03/02
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