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HomeMy WebLinkAbout0152734 - building (roof) CITY OF OSHKOSH No 152734 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 733 W 10TH AVE Owner DANIEL H GEFFERS Create Date 10/02/2012 Designer Contractor ENVISION BUILDING Inspector Nicole Krahn Category 041 -Residential Roofing Plan Type • Building O Sign 0 Canopy 0 Fence 0 Raze Zoning R-2 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 O Floating Slab O Pier 0 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 0 Use/Nature SFR(LATE PERMIT)/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE ONLY DUE TO HAIL DAMAGE-NO of Work STRUCTURAL CHANGES — J HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $4, 0.00 Plan Approval $0.00 Permit Fee Paid $153.00 Park Dedication $0.00 Issued By:5M( Date 10/03/2012 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id# 1304110000 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 u erst d e afore mentioned information. Signature � Date `` " la Agent/Owner Address 5374 WHITE CAP CT OMRO WI 54963 - 0000 Telephone Number 920-740-0908 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. City Oshkosh Inspection Services Division P O Box 1130 Oshkosh,WI 54903-1130 Phone: (920)236-5050 OlHKOlH Fax: (920)236-5084 ON THE WATER Roofing & Siding Permit Application • Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128, Oshkosh WI 54903-1 128. 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 Permit fee Account System and have adequate funds, check here if you want this processed through your account El JOB ADDRESS '-n? i,..) ID-4) 5�- OWNER 15' ()O�I�IS CONTRACTOR ti I' \l'0,� I am the: ❑ Owner OR ICI Contractor USE CATEGORY 15 Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Work being done: ROOFING ©Tear off and replace existing roofing on El house,❑garage 0 Replace wood decking ❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage This work is being done due to tin Hail Damage ❑Other 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❑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 1 Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested. 2) ❑Electric—Not Applicable because: ❑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) '10 Value of the job $ 9 (6�u: (include fair market price for labor even if you are not paying for labor) 03/02