HomeMy WebLinkAbout0153774 - Building (roof) CITY OF OSHKOSH No 153774
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 449 DOVE ST Owner MR/MRS KEITH A DOXRUDE Create Date 11/29/2012
Designer Contractor ALL EXTERIORS PLUS
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building O Sign 0 Canopy O Fence 0 Raze
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection 1
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
O Concrete Block 0 Post O Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/reroofing house
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $9,000.00 Plan Approval $0.00 Permit Fee Paid $81.00 Park Dedication $0.00
Issued By: -t— Date 11/29/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1610330000
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 ap•Ii'ation within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to sec e - y neces I% approvals ••fore starting such activity.
I have read and,,;,_- to • e as;•- entio e•, ' formation.
Si; - ure /� , y`, Date 1 7--d 9 �p�
�s Agent/Owner
Address 824 S FREMONT ST JANESVILLE WI 53545 - 4919 Telephone Number 608-314-3200
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.
�G (� P O Box 1130
City of Oshkosh Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.as
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� _. /4--Addre ss
Applicant Owner Contractor Tenant Other(describe) �1
Owner/ Name KE--- `/ H1 l „,N' L 6 Phone 9X z7/�/ 5- -6--)-
Tenant L7 Address U v S Email
Contractor Company Name Phone
Contact Email
Address
State Credential#'s , ,
Dwelling/L---X./Qualifier# Dwelling Contractor# Building Contractor�Registration#
Achitect/ Company Name , l , (` X/ !` 1 C>/'`S (-)(4 4 S Phone 6 Ca- qp�l -
Designer
Contact hCW 1= Email
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Address y E5 Ci flE CC 'i
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Description
tion n z—L 1) 1- CC r c r e u C!4,
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ 1 0 O Q (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Pay - t by: Check # Cash Permit Fee Account
I certi' t a.•he • motion is complet•and accurate. Any deviations from the above submitted information may require additional permits
to b• ••ain,I. I ack ., •dge and a: ee to these terms.
N 1'''•"d► F ��,, (Please print) Date:
apr
Signature: