HomeMy WebLinkAbout0155444-Building (roof) � CITY OF OSHKOSH wo 155444
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 237 W 14TH AVE Owner JEROME J/DEBBIE M HEISE Create Date 05/06/2013
Designer Contractor ALLIANCE CONSTRUCTION WC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign 0 Canopy � Fence � Raze �
Zoning R-2 Class of Const: Size
Unfnished/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 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 SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE ONLY-NO STRUCTURAL CHANGES **check#6144
of Work I
� I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valu 'on $4,800.00 Plan Approval $0.00 PermitFee Paid $65.00 Park Dedication $0.00
Issued By: Date 05/O6/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0901760000
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 s re ny necessary approvals before starting such activity.
I have read and erst d the afore men�d information.
Signature Date �—� - �?
AgenUOwner
Address 41 HORSESHOE RD OSHKOSH WI 54904 - 9363 Telephone Number 920-379-8484
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 Box1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 O��J�/O��J
Fa�c:(920)236-5084 � I►� � �
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 participating in the Permit fee Account Svstem and have adeguate funds, check here
if vou want this processed through vour account n
JOB ADDRESS � � � �(��
�
OWNER
CONTRACTOR_��,y��Q c
I am the: ❑ Owner OR I�Contractor
/�SE CATEGORY
$ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
�Teaz off and replace existing roofmg on�house,❑garage
❑Replace wood decking
0 Add 1 layer of roofing to the existing layer(s)on O house,❑garage
This work is being done due to❑Hail Damage ❑Other
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum) '
❑Replacing widi
This work is being done due to❑Hail Damage ❑Other
When siding'is done,one of the boxes below must be checked:
1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications aze being performed
by
(Nazne of Licensed Elect�ic Contractor)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. ❑Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job$ / O�V (include fair market price for labor even if you aze not paying for labor) 03/02