HomeMy WebLinkAbout0154357 - Building (roof) CITY OF OSHKOSH No 154357
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 542 W 12TH AVE Owner PATRICIA L FRIDAY Create Date 01/28/2013
Designer Contractor STEVE WIRTZ CONSTRUCTION
Inspector Nicole Krahn
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Category 041 -Residential Roofing Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning R-2 — 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 SSFR/Re-roof'the house and replace gutters. All existing layers shall be removed or new shingles over a maximum of 1 existing layer.
of Work **debit acct
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i I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation yy� $4,435.16 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00_
Issued By: 1(..A Date 02/06/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1300580000
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 N6334 TOWER ROAD FOND DU LAC WI 54937 - 7321 Telephone Number 920-923-6063
0
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.
6ILL E101 W vET ;11111 1D;A ! ;3;
P 0 Box 1130
City of Oshkosh o.hkosh,WI 54903-1 i 30
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application WWW.cl.o shko eh wi u
Project
Address 5 U , I S O 2,
Applicant Owner ontracto Tenant Other(describe)
Owner! Name CikV j Phone (en-C.) 4 Ito-32.7 q
Tenant
Address 514 2- IA) ttl CULTLI Email
Contractor Company Name 3-titt_.' LOtvi-L, "B,,uititts Phone q-Lb -q231,00b3
Contact Rif (i 2— Email e sturuoty-±-2 •
ctrrvi
Address aq 761,0a re-OCLOI RL 1/0 I Liq57
State Credential Ws 2-6 I 3s-- D D1/3
Dwelling Contractor Qualifier ti Dwelling Contractor N Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
_
Permit Type Cldential Sing et tuitlD Residential Duplex Commercial Multifamily Industrial
Category New Addition Alteatio
Project r0r)-- uJ r-Le tau_rvs__Aj\jt_
• Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job s J.4 s-•/5:6-,Ito
(Value for materials&labor is r ,to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash ( m it Fee Account)
1 cer1fy the above itiformallon is complete and accurate. Any deviations from the above submitted hicor»tation may require additional permits
to be obtained. 1 acknowledge and agree to these terms.
Name: (11,-f “ct t•J CAO (Please print) Date: *//3
Signature: LIN I 4L,2--fik houj
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