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HomeMy WebLinkAbout0154794-Building (roof) � CITY OF OSHKOSH No 154794 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 624 W 6TH AVE _ Owner MR/MRS M WAYNE NIEMUTH _ _ Create Date 03/21/2013 Designer _ Contractor CALMES&ROHM CONSTRUCTION LLC Inspector Nicole Krahn Category 041 -Residential Roofing ___ _ _ Plan Type � Building 0 Sign � Canopy � Fence � Raze I 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 � Floating Slab � Pier � Other � Concrete Block � Post � 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/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND DETACHED GARAGE-NO STRUCTURAL CHANGES � of Work � , , i i � � i , i i - -- HVAC Contractor _ ___ Plumbing Contractor Electric Contractor Fees: Valuation _ $5,455.00 Plan Approval $0.00 Permit Fee Paid $72.00 Park Dedication $0.00 Issued By: (,, � Date 03/21l2013 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id#0602240000 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 unders d the afore mentioned information. Signature 4�/L____ Date �'/ �S AgenUOwner Address 411 HIGH RIDGE LN _ _BLACK CREEK WI 54106 - 9733 Telephone Number (920)606-7445 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. City of Oshkosh � Inspection Services Division � P O Box 1130 Oshkosh,WI 54903-1130 Phone:(920)236-5050 I/ u Faac:(920)236-5084 � �� Roofing & Siding Permit Application ON THf WATFR • 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$100.00 plus the normal permit fee,which ever is greater. OR If vou are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here �vou want this processed throu�h ,your account n JOB ADDRESS � �� ���T S 1 7�'�'h ���''e OWNER Wc�yn,c. �v��2,M�:.� CONTRACTOR C��MPfj d' R4�./►, (,v���./'�,..oh�. L.C.L. I am the: ❑ Owner OR �Contractor USE CATEGORY �Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Work being done: ROOFING �S4Tear offand replace existing roofmg on�house,�garage ❑Replace wood decking ❑Add 1 layer of roofmg to the existing layer(s)on O house,�garage This work is being done due to�Hail Damage ❑Other (���L SIDING ❑Install siding on ❑house, ❑garage 0 Replacing vinyl with vinyl ❑Replacing steel or aluminum with vinyl(circle steel or aluminum) ❑Replacing with This work is being done due to 0 Hail Damage ❑Other When siding is done,one of the boxes below must be c6ecked: 1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modificaYions are being performed by (Name of Licensed Electric Contractor) . AND ❑ElecMc Installation Verification form is attached OR ❑Separate Elect Permit will be requested. 2) ❑Electric—Not Applicable because: ❑J Blocks previously installed ❑No outside lights. ❑Other ❑Install new or❑Replace gutters ❑Install new or❑Replace downspouts Other related work being done: (please note) Value of the job$ �L�5�. � (include fair market price for labor even if you aze not paying for labor) 03/02