HomeMy WebLinkAbout0152772-Building (roof) CITY OF OSHKOSH No 152772
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2880 W 20TH AVE Owner JEAN ZEINERT Create Date 10/02/2012
Designer Contractor DAN V BINDER CONSTRUCTION
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building 0 Sign 0 Canopy 0 Fence ❑ Raze
Zoning R-1 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 0 Pier 0 Other
0 Concrete Block 0 Post 0 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 "`debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $146.00 Park Dedication $0.00
Issued By:B;, ' ' Date 10/04/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1331590000
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 1224 W SOUTH PARK AVE OSHKOSH WI 54902 - 6642 Telephone Number (920)231-2114
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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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ity of...kosh
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inspection Services Division
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PpBox li3o
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Oshkosh, WI 54903-I 130
?hone: (920)236-5050
Fax: (920) 236-5054
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Building Permit Application N
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If v0u wanrti—_____. T .4 rj� au it '. r f •unto • em and hctva ad_eas�ar�Ln check hers
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.OR ADDRESS ..26-^'----KV ,-1'
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OWNER 14 Y9 ��N �_ _-,
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CO1�TTRACTOR 1 V-. /I/4 4e i
I am the: ❑ Owner OR 'Contractor
E CATEGORY .
• ingle Family °Duplex ElMulti-Family °Rental ' ❑Commercial °Industrial
Work being done:
❑Addition 0 Deck/PorGvPatio
❑Driveway/Parking
❑External Remodeling 0 Fence/Hedge/Kennel ❑Garage/Utility Structure
❑Handicap Ramp - ❑Hot Tub/Spa ❑Internal Remodeling
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. �Si n1 CBnopy/Aw g ❑Stair/Handrail 0 Stove/Fireplace
❑Swimming Pool 0 Wrecking Permit
.Other -- —__
Additional information,such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
ati Full description of work being done:
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A wv r of ' c uded in ioq is not permitted.
Value of the job
Vpl;cantc,j (Value for matortay and labor D required to ensure eon9ietency in a:cessing permit fcts for all, •
'LE SE A SI N DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms_
Name: 9_,. .,.._ J
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&tease print) j-
SigwitUrC: _,..4„,....",a. .
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Received Time Oct. 3. 2012 4: 57PM No. 1110 Date: d