HomeMy WebLinkAbout0155461-Building (roof & siding) � CITY OF OSHKOSH No �554s�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1615 CENTRAL ST Owner CYNTHIA J GLATZ Create Date 05/06/2013
Designer Contractor PACKER VALLEY BUILDERS, INC
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze �
Zoning R-2 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 0 Pier � Other
0 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/REPAIR STORM DAMAGE TO GARAGE ROOF,SOFFITAND SIDING AND HOUSE GUTTERS AND SIDING-NO
of Work STRUCTURAL CHANGES "check#34685 '
i
I �
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: �� Date 05/06/2013 Finai/O.P. 00/00/0000
� Permit Voided j Parcel Id# 1502080000
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 necess ry approvals before starting such activity.
I have read and un s nd t af m d information.
Signature `- - Date �' �7
� � r `/
AgenUOwner
Address 2277 CLAIRVILLE ROAD OSHKOSH WI 54904 - 0000 Telephone Number 920-232-7620
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.
2013-05-02 07:29 Packer Valley/Nekimi 920 232 7622 » P 2/2
� Cli of Os�(osh P o s�X ��30
J Oshkosh,WI54903-1130
� Phone:(920)236-SO50
Fax:(920)236�5084
Build�ing �erna�xt Applicati�on "'"'"'��-�ak°Sb.�.us
Project � � � ��
Address /L•y�� C�., �.�,.
Applicant Owner ontractor Tenartt Other(describe)
Owner/ Namc ~
Tenant � �^ �� � �z Phone
Address� � 5. ����,��� �� �ma��
Coatrsctor Comp�y Name � . '
rr �.� ��,,��c% �^ /�� Phone .�.3.:.�- ���Q
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Contact 1�;�%p� 6mail
Address N�C / ��/�2�:M�.•�/�� �� ���v� -� L✓�
Sta.te Crcdcntial �t's �(j a �9,�
Dwelling Cont�ctor Quulifier l! � p„i���;,�g����r� ' guilding Contrnetor Rcgisvotion N
Achitect/
p����r Company Name Phone
Contact Email
Address
Permit Type csidential Sin (e Fami1 Residential Duplox Commcrci�l Muitifamily Industrial
C�tngory Ntw Addition Alteration
Projcct
Dcscription '� �"'� �~'« � °�a c� � S • ���S,
'�' � -' � x� o�s I,� " "
Mechao'ical Separ�te permiis wi11 be obtaincd for thc following:
Pcrmits Electrical b /'�
Y Plumbi»g by /�/1y� Heating by /✓/�/
Valuc of Job $�/./���, ��
(Vnluc for materioly 8c labor is roq.to ensurc coasistetley in accessing permit!'oeg for all epplimnt�.)
Paym�nt by: Check #_� Cash permit Fee Account
I Ccrtjfy�he above informarion Is e0mplcre and occurare. Any devlali0ns from�lic obove submiucd i�J'ormallnn,noy requ/re oddirlonol porn,lrr
�o bc oDtafned. !ackr►ow/edge ored agreC(o d�ese ternis.
Name: (plensc priot) Date: •�,? /�
Signatu • �
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