HomeMy WebLinkAbout2013-Building (roof) � CITY OF OSHKOSH No 155480
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 644 SCHOOL AVE Owner WILLIAM/KATHLEE M ULEZELSKI Create Date 05/07/2013
Designer Contractor RIPON AREA ROOFING INC
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-4 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(LATE PERMI�/TEAR OFF AND REPLACE EXISTING ROOFING AND WOOD DECKING ON THE HOUSE AND DETACHED
of Work GARAGE-NO STRUCTURAL CHANGES
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I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuat' n $17,000.00 Plan Approval $0.00 Permit Fee Paid $142.00 Park Dedication $0.00
Issued By: � Date 05/07/2013 Final/O.P. 00/00/0000
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❑ Permit Voided� Parcei Id#0201590000
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 cessary approva befo ing such activity.
I have read and und tand e afore mentio i . � .� /�
Signature Date �
AgenUOwner
Address W13508 TRI COUNTY RD RIPON WI 54971 - 9219 Telephone Number (920)748-9371
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 Oslilcosh �
Inspection Services Division �
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 O�u�/O�u
Fax:(920)236-5084 � l�� I 1
Roofing & Siding Permit Application ON THE WATER
• 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
Ifvou are a contractor participaling in the Permit fee Account Svstem and have adeauate funds, check here
if you want this processed throu�vour account n
JOB ADDRESS d v b�
OWNER I I � I C �--L= l �
CONTRACTOR � � � ^
I am the: ❑ Owner OR �ontractor
USE CATEGORY
�8ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
� �
Work being done:
ROOFING
Tear off and replace existing roofmg on I�house,�gazage
Replace wood decking
oofmg to the existing layer(s)on❑house,0 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(cu•cle steel or aluminum)
❑Replacing wifli
This work is being done due to❑Hail Damage ❑Other � � �y
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 Elect�ic Contractor) '
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocl:s previously installed. ❑No outside lights. ❑Other
❑Install new or 0 Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
QpZS
Value of the job $ (include fair market price for labor even if you are not paying for labor) 03/02