HomeMy WebLinkAbout0156290-Building (roof) � CITY OF OSHKOSH No 156290
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1330 INDIGO DR Owner STACY GRAF Create Date 06/19/2013
Designer Contractor MOBILE HOME STUFF STORE INC
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning 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 _ Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/tear off and replace roof on house. �i
of Work
"'ck#43096"* '
I
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,737.50 Plan Approval $0.00 Permit Fee Paid $72.00 Park Dedication $0.00
Issued By: T17,� Date 06/19/2013 Final/O.P. 00/00/0000
❑ Permit Voided I� Parcei Id# 1307310100
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 N7428 OSBORN WAY FOND DU LAC WI 54937 - 8903 Telephone Number (920)923-0098
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 54903-1130
Phone:(920)236-5050 (�%(���
Fax:(920)236-5084 Q�u TMF nreR
Roofing & Siding Permit Application
• 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
�ou are a contractor participating in the Permit fee Account System and have adequate funds, check here
1 vou want this processed through vour account n
JOB ADDRESS 1 3 fl I I�� -�r�J� _ _
OWNER < ___ _ 1��CEIVED
D p
CONTRACTOR ����� �/ `� 18 2013
I am the: ❑ Owner OR �Contractar
DEPARTME:�T OF
USE CATEGORY C01�I�1UNTfY DEVELOP?11E:VT
�Si�igle Family ❑Duplex ❑Multi-Faznily ❑Rental ❑Commercial iNSPE�I�]��pCES DIVISTO.H
Work being done:
ROOFING
.`''• �Tear off and ceplace�existing.roofmg on�house,O garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing ___layer(s)on❑house,O garage
This work is being done due to❑Hail Damage I�Other �
SIDING
❑Install siding on ❑house, ❑gazage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Keplacing with
This�vork is beine done due to❑Hail Damage ❑Other____,___.___. ,__,. �_
When siding is done,one of the boxes below must be checked:
I) ❑Electric-Existing Electric Meter,receptacle,lighting and Electric Service entra��ce alterations/modifications are being performed
bY— -
(Name of Licensed Elec[ric Contractor)
AND i-�Electric Installation Veritication form is attached OR �Separate Elect Permit will be requested.
2) 0 Electric-Not Applicable because: �;J Blocl:s previously installed. '�:'No outside lights. i Other _
L7 Instali new or❑Replace gutters
❑lnstall new or O Replace downspouts
Other related work being done: (please note),__ „_ _i______ _
j-'•
- ,,s ,. --- -
Value of the job�J, /Ja 7. �J� (include fair market price for laUor even if you are not paying for labor) 03/02