HomeMy WebLinkAbout0155583-Building (roof) � CITY OF OSHKOSH No 155583
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1917 MICHIGAN ST Owner KOEPP LIVING TRUST Create Date 05/13/2013
Designer Contractor JE QUALITY EXTERIORS
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-1 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 0 Floating Slab 0 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 back porch of house only. No structural changes. �
of Work
� _ J
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,350.00 Plan Approval $0.00 Permit Fee Paid $44.00 Park Dedication $0.00
Issued By: j�� Date 05/13/2013 Final/O.P. 00/00l0000
❑ Permit Voided� Parcel Id# 1409580000
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 n h r ned information.
Signature Date
Agent/Owner
Address 35 SENNHOLZ CT OSHKOSH WI 54902 - 0000 Telephone Number (920)376-6808
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.
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City of Oshkosh �
Inspection Services Division �
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 O�u�/O�u
Faac:(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 participating in the Permit fee Account Svstem and have adequate funds, check here
i1'vou want this processed throuQh vour account n
JOB ADDRESS� I I 1 I i' I 1 G Y ' �A�I� �"1
OWNER ��1� �1.� IL(�P,iD IP :
CONTRACTOR J��G I I 1'���GT�C�-(JI�L�
I am the: ❑ Owner OR �ontractor
USE CATEGORY
I�ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
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Work being done:
ROOFING
�fear off and replace existing roofmg on 1�house,❑gazage b CA C L ����� V� ��'�'w
❑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 wifli
This work is being done due to 0 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
(Name of Licensed Elecuic 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 $ � , ��JV • � (include fair market price for labor even if you are not paying for labor) 03/02