HomeMy WebLinkAbout0153699 - Building (roof) CITY OF OSHKOSH No 153699
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 618E NEW YORK AVE Owner DEBRAA ELMER Create Date 11/19/2012
Designer Contractor HICKEY ROOFING
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type • Building 0 Sign O Canopy O Fence O 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 O Floating Slab 0 Pier O Other
O Concrete Block O 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 ON THE HOUSE ONLY-NO STRUCTURAL CHANGES
of Work "debit acct
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,771.00 Plan Approval $0.00 Permit Fee Paid $160.00 Park Dedication $0.00
Issued By: i'n� Date 11/26/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1508220000
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 1427 BROAD ST OSHKOSH WI 54901 - 3047 Telephone Number (920)426-4008
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.
lv 26 12 08:OOa HICKEY ROOFING 9202320354 p.1
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City of Oshkosh , „ ��
Inspection Services Division (A .�}'� /e24� r
P O Box 1130 J
Oshkosh,WI 54903-1130
Phone:(920)236-5050 ofHKOfH
Fax:(920)236-5084 ON --+r' wnr F It
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 54903-1128. 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 Fermi ee Account System and have adequate funds. check here
if you want this processed through your account erg
JOB ADDRESS 4 / e ,- -÷e_-,_);_c_r\riA,- afr-r
OWNER V-41 ?�
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CONTRACTOR -I 'r 1
I am the: Zi Owner OR Contractor
SE CATEGORY
il Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
A Tear off and replace existing roofing oryl house,❑ garaee
0 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 E 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
(Natnc of Licensed Electric Contractor)
AND Electric Installation Verification form is attached OR r Separate Elect Permit will be requested.
2) ❑Electric-Not Applicable because: J Blocks previously installed. !-'.No outside lights. L!Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
I 1 �, (include fair market price for labor even if you are not paying for labor) 03/02
Value of the job $51 p
Received Time Nov. 26. 2012 7: 54AM No, 1744