HomeMy WebLinkAbout0156171-Building (roof) � CITY OF OSHKOSH No 156171
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 109 SCOTT AVE Owner ALAN UKAY M STENERSON Create Date 06/13/2013
Designer Contractor HIGH CALIBER CONSTRUCTION
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze �
Zoning R-2PD 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 Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature DUP\Roof
of Work i
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I
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,000.00 Plan Approval $0.00 Permit Fee Paid $72.00 Park Dedication $0.00
Issued By: _�� Date 06/13/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id# 1005430000
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 ce sary approvals fore starting such activity.
I have read and underst d afor information.
Signature y - Date
Agent%Own
Address 1808 MCCURDY ST OSHKOSH WI 54902 -6748 Telephone Number
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 Box 1130 �
Oshkosh,WI 54903-ll30
Phone:(920)236-5050 O HK I 1
Fax:(920)236-5084
ON 7HF WATFR .
Roofing & Siding Permit Application
• Applicarion(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspecrion Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
Ir vnu are a cnntractnr narticinatinQ in the Permit fee Accnunt Svstem and have adequate funds check here
if vou want this processed throuQh vour account n
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JOB ADDRESS i��i
OWNER /��!�
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CONTRACTOR �
I am the: �1'Owner OR ❑Contractor
USE CATEGORY
❑Single Family �-�Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
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Work being done:
ROOFING
❑Tear off and replace existing roofing on¢�house,❑garage
/ '
❑Replace wood decking
❑Add 1 layer of roofing to the e�sting layer(s)on�house,❑garage
This work is being done due to O Hail Damage ❑Other
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to❑Hail Damage ❑Other
When siding is done,one of the bozes below must be checked:
1) ❑Electric—E�cisting Electric Meter,receptacle,lighting and Electric Service enh�ance alterations/modificarions are being performed
by
(Name of Licensed Electric Contractor)
AND LJ Electric Installation Verification form is attached OR LJ Separate Elect Permit will be reques[ed.
2) ❑Electric—Not Applicable because: LJ J Blocks previously installed. Ll No outside lights. lJ Other
❑Install new or❑Replace gutters
❑Insta(1 new or❑Replace downspouts
Other retated work being done: (please note)
Value of the job$ �D�(/ (include fair market price for labor even if you are not paying for labor) 03!02