HomeMy WebLinkAbout2013-Building (roof) � CITY OF OSHKOSH No 155610
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1782 RIVER MILL RD Owner MR/MRS DONALD R WOLTER Create Date 05/14/2013
Designer Contractor HICKEY ROOFING
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign 0 Canopy � Fence � Raze _�
Zoning R-1 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 0 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 ISFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE-NO STRUCTURAL CHANGES
of Work debit acct ,
�* ,
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $17,489.00 Plan Approval $0.00 Permit Fee Paid $148.00 Park Dedication $0.00
Issued By:�?;�r Date 05/14l2013 Final/O.P. 00/00/0000 :
7
❑ Permit Voided j Parcel Id# 1224270000
In the performance of this work I agree to perform ali 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
AgenbOwner
Address 1427 BROAD ST OSHKOSH WI 54901 - 3047 Telephone Number (920)426-4008 '
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.
y 13 13 07:55a Hickey Roofing Inc 920-232-0354 p.1
Cit��of Oshkosh
Inspection Sen•ices Division �
P O Box U30 �
Oshkosh,W'I54903-1130
Phone:(92U)236-5050
Fax: (920)236-5084 O �O
Oh THP WATfR
Roofing � Siding Permit Application
• Application(s)and fee(s)can be brought to City Hall,Roocn 205 or mailed to Inspection Services, PO Box t l 28,
Oshkosh W'I 54903-] 128. Commencing work without permit(s)will result in fees being doubled or$100.00 ptus the
norrnal permit fee,which ever is greater.
OR
!f vou are a contractor narticfnatinQ in the Permit fee Account Svstem and have adeguate funds check here
1f vou x�ant th�s nrocessed throu�h vour account �
JOB ADDR�SS � /�� �SJ '�� V�'1��`^ �
OVb'NER (,C�Q-���
corrrrzacroR 1W'��� �j h+( �
I am t6e: ❑ Owner OR �7 Contractot
.�UrSE CATEG�RY :
,Jgi Single Family O Duplex ❑114ulti-Family ❑Rental ❑ Commercial O Industrial
Work being done:
ROOFING
�Tear off and replace cxisting roofing o�house�garage
❑Repiace�vood decking
0 Add] laycr of roofing rou the existing � layer(s)on O house,❑garagz
"Chis work is being donc due to C7 Hail Damage �Other
SIDING
❑Install siding on ❑house, 0 garaee
❑Replacing rinyl�vith vinyl
❑Replacing stee]or aluminum with i�inyl(drele stee]or aluminum)
❑Replacing �vith
This work is being done due to O Hai I Damage �Other ;
When siding is dooe, one of the boxes befow must be checked:
t) ❑Eleciric—Existing Electric Meter,roceptacle,lighiing and Electric Service entrance alterationsimod�cations arc being performed
by
(Name or L;eeased Elearic Contract«) :
AND !J Electric]nstallation��erif cation form is attached OR �Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑]Blocks previously installed. `No outsidc lights. =Other
❑ Install new or�Replace guiters
O Install new or Q Replace downspouts
Other related ti�•ork 6eing done:{please note)
Value of the job� / /� `7��/ ' + (includc fair markct price for labor even ifyou are not paying for laborj 03/02