HomeMy WebLinkAbout0155452-Building (roof) � CITY OF OSHKOSH No 155452
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OSHKOSH BUILDING PERMIT -APPUCATION AND RECORD
ON THE WATER
Job Address 630 BOYD ST Owner MARY L BARTOSIC Create Date 05/06/2013
Designer Contractor DRIESSEN CARPENTRY
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Buiiding � Sign � Canopy � Fence � Raze
Zoning R-2 Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
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 "check#3878
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,972.00 Plan Approval $0.00 PermitFee Paid $72.00 Park Dedication $0.00
Issued By: ?� 1 Yl, � Date 05/06/2013 Final/O.P. 00/00/0000
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❑ Permit Voided I Parcel Id# 1101870000
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 Ciry 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 un stand t mentioned information.
Signature � Date S ��
AgenbOwner
Address 070 COUNTY ROAD K OSHKOSH WI 54904 - 9180 Telephone Number (920)231-7145
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 specifed 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 O�u�/O�u
Fax:(920)236-5084 � ��� � �
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
If vou are a contractor participatin� in the Permit fee Account Svstem and have adequate funds, check here
�vou want this processed throu�vour account n
JOB ADDRESS �i��� ��V(�
OWNER�(1('/� I/f����'l
CONTRACTOR �(��(�S SC>i✓ � ".c/'Dp rC�("�
I am the: ❑ Owner OR �Contractor
�E CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Conunercial ❑Industrial
Work being done:
ROOFING
�Tear off and replace existing roofing on�.�hous�garage
❑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❑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
(Nan�e 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 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 $�GI7� (include fair market price for labor even if you are not paying for labor) 03/02