HomeMy WebLinkAbout0153439 - Building (roof) CITY OF OSHKOSH No 153439
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2021 2025 W PACKER AVE Owner WINNEBAGO COUNTY HOUSING AUTH Create Date 11/07/2012
Contractor KOWALSKER_OOFING_
Designer
Inspector Nicole Krahn Plan
Category 041 -Residential Roofing — —
1
Type • Building---- 0 Sign Canopy—— PY O Fence 0 Raze —
Class of Const: Size
—
Zoning R-2
Unfinished/Basement Sq.Ft. Rooms
Height Ft. El Projection]
Stories Canopies
Finished/Living Sq.Ft. Bedrooms -
- Signs
Sq.Ft. Baths
Garage _ —
Poured Concrete 0 Floating Slab O Pier 0 Other
Foundation g
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee _$0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units
0 #Structures 0
Use/Nature DUPLEX/Re-roofing the duplex(complete tear off-no structural work).
of Work
Plumbing Contractor — — _-- — —
HVAC Contractor
Electric Contractor --__
Fees: Valuation $6,900.00 Plan Approval _ $0.00 Permit Fee Paid $67.00 Park Dedication $0.00
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Issued By: ,— Date 11/07/2012 Final/O.P. 00/00/0000
1] Permit Voided II Parcel Id# 1229920000
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 un• afore men'•n t. information. /21-7 42-- Date
I Signature
- Agent/Owner
OSHKOSH WI 54901 - 2139 Telephone Number 920-233-4695
Address 1320 COLUMBIA AVE To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Name Type
Phone of
Inspection(i.e. Footing, Service, Final, etc.),Access into Building if Secure(how do we gain entry),your
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 of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1130 OIHKOlH
Phone:(920)236-5050 ON THE WATER
Fax:(920)236-5084 Application
& Siding Permit App on
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. 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 n
JOB ADDRESS_ • a` 2C)' S -0_ L
OWNER ( , I Ji)
CONTRACTOR f W4Z-<X_
I am the: ❑ Owner OR O1 Contractor
USE CATEGORY ❑Rental ❑Commercial ❑Industrial
❑Single Family /Duplex ❑Multi-Family
Work being done:
ROOFING
/Tear off and replace existing roofing on1Ihouse,❑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 C Electric Installation Verification form is attached OR 7 Separate Elect Permit will be requested.
2) ❑Electric-Not Applicable because: ❑J Blocks previously installed. 7 No outside lights. 7 Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
�/�-- 03/02
Value of the job $ ��U (include fair market price for labor even if you are not paying for labor)