HomeMy WebLinkAbout0155615-Building (siding) � CITY OF OSHKOSH No 155615
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1261 JACKSON ST Owner DONALD J/BETH L PACHNIAK Create Date 05/14/2013
Designer Contractor BRENNAN-FRASER ROOFING
Inspector John Zarate
Category 042-Residential Siding Plan
Type � Building � 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(LATE PERM17)/REPLACE STEEL SIDING(DEFECTIVE SIDING-WARANTY JOB)-NO STRUCTURAL CHANGES "debit
of Work acct ,
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $ 205.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: � Date 05/14/2013 Final/O.P. 00/00/0000
� Permit Voided 'I Parcel Id# 1202990000
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 understand the afore mentioned information.
Signature Date
AgenUOwner
Address 415 N PERKINS ST APPLETON WI 54914 - 3138 Telephone Number 739-5559
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.
Ciry of Oslilcosh
�w����C�E D1Vl9i0A �
P O Hox 1130
Osh�cOSh,WI 54903-1130 �
Pbone:(920)236-SOSO
Fau:(9Z0)236-5084
� Rooflng 8 Stding Permit Application " " `
' � Applicatio�n(s)and fce(s)csn bc brouabt to Ciry Ha11,Room 205 or rr�uiled to In
�u spection Servic,�s,pp Box 1128,
Oshkosh VIr1 54903-1128. Commtncing work without permic(s)will cesult in ftes beir►g doubled or 5100,00 ptus the
normal pernrit fee,which ever is groater.
OR
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�Oe,�►nn�ss � � �QC�SC�1r> • �2�, ��
OwNER �,�!�
CONTRACTOIt -1 �, .��
I am the: , p Owncr OR �J;,Convact�
�U E CATEGORY
ingle F�milY O Duplpc O Multi-Family O Rental O Commtreial O Indusaial
Work bein�done:
ROOFING
a Teu ott aod rcpl�ee aei�ain�rooting an o houu,O gara�e
O Replace wood docldng ,
0 Add 1 leyer of roofing w the exisang I�yer(:)on O house,0 prage
T6i�work ia being done duc to O H�il D�ms�e p ptA�r
$IDI11T('ir ,
O 1naWl sidmg on ❑houie, p�ange
O RcplaciA�vioy)with vinyl
O Rep4cinQ mel or aluminum with vinyl(c+rcle etee!or duminum), � � ��
�Replacin�� widi ��PR�
This work is being done due to�Hail Dornp�e �Other � � '��
Wheo aidlnE fs done,one o!the bozea below a�usl De cbccked:
!) ❑Elecvic-Exiaing Electric Maer,rsceptacle,li�hrio��nd Eketrie Servioe mtrance dcerstioru/nwdi6cationa m beinQ perfonned
by
M+tu�ot Lioe..ea El.eaie Coev�o�or)
� �Elecaic InASlluion Vcrification form ia�ttached Qg ry Sejaarate Elat Prnrrie wfil be requeated.
2) O Electric-Not Ap�licable because: �)Blocka prrvioualy inaalled. D No ouuide tighcs. 0 Orha�
o�nr�l�nev�►o�O ReplKe guaera
O Ins�ll new or 0 Repl�oe dovmapouta
Other related work belnE done: (plcasc note) � •
G�a.�rr�Cos�
Value of the job S �laUa��17 (incfude fiir mvket prioe for labor even if you�re not pryin�for labor) o3roz