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HomeMy WebLinkAbout2012-Building (roof) CITY OF OSHKOSH No 153246 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 610 WASHINGTON AVE Owner HARRY OSTENDORF _ Create Date 10/23/2012 — —_ — Designer Contractor ALLSTATE CONSTRUCTION INC - --- _ --- - — -- Inspector John Zarate — -- — — Plan —_ Category 041 -Residential Roofing — --- - — Type • Building 0 Sign 0 Canopy 0 Fence O Raze 1— — - Zoning R-2 Class of Const: Size _- - Hei ht Ft. � Projection Unfinished/Basement Sq.Ft. Rooms g Canopies Finished/Living Sq.Ft. Bedrooms Stories -- - Sq.Ft. Baths Signs Garage _ -- _ Foundation e Poured Concrete 0 Floating Slab 0 Pier Other O Concrete Block 0 Post 0 Treated Wood — Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required g 0 #Structures 0 #Dwelling Units Park Dedication Not Required Use/Nature ISFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE-NO STRUCTURAL CHANGES of Work *check#16044 HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $16,513.50 Plan Approval $0.00 Permit Fee Paid $130.00 Park Dedication $0.00 Oillt_A j1 Date 10/29/2012 Final/O.P, 00/00/0000 Issued By: ❑ Permit Voided I Parcel Id#0404260000 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. Date Signature Agent/Owner Address 415 E GRAND AVE — BELOIT WI 53511 - 0000 Telephone Number (608)362-3800 — 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. 10/23/2012 TUE 11: 24 FAX 2002/002 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh,WI 54903-1130 0/NC/hi (920)236-5050 Fax: (920)236-5084 ON TI-117 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. If you are a contactor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account fl JOB ADDRESS LQ �� U�W� ° ( OWNER 1 M. 0 t?-1-r Gt�2{ � /� CONTRACTOR ' �. C( S -t,i,koy,r /U an c I am thee ❑ Owner OR "Contractor CATEGORY Single Family ❑Duplex 0 Multi-Family ❑Rental ❑Commercial ❑Industrial Work being done: ROOFING ,Tear Wand replace existing roofing on house,❑garage ❑Replace wood decking ❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage This work is being done due to❑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 ":]Electric installation Verification form is attached OR ;Separate Elect Permit will be requested. 2) ❑Electric—Not Applicable because: J Blocks previously installed. C;No outside lights. Other ❑Install new or❑Replace gutters ❑install new or❑Replace downspouts Other related work being done: (please note) (Lo 03/02 Value of the job $ (l9 5\J 5 u (include fair market price for labor even if you are not paying for labor) Received Time Oct, 23. 2012 12: 12PM No. 1358