HomeMy WebLinkAbout0156314-Building (roof) � CITY OF OSHKOSH No 156314
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1804 FAIRVIEW ST Owner RICHARD A/TRACEY L DOMITER Create Date 06/18/2013
Designer Contractor HICKEY ROOFING
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence 0 Raze I
Zoning R-1 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 Fiood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Tear off and replace rubber roof on front West porch.
of Work
*"***debit account"'*
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,804.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: �� Date 06/20/2013 Final/O.P. 00/00/0000
� Permit Voided I Parcel Id# 1514815400
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 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.
n 1713 03:03p Hickey Roofing Inc 920-232-0354 p,1 `
City of Oshkosh �
Inspection Services Division �
P O Box 1130
Oshkosh,WI54903-1130
Phone:(920)2.i6-5 O50 O �/O L-1
Fax:(920)236-5084 I a\ I 1
Roofing & Siding Perrnit Application �:�7�F����iFR
• Application(s)and fee(s}can be brought to City Hall, Room 205 or mailed to lnspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) wilE result in fees being doubled or$100.00 plus the
normal permit fee,whic6 ever is greater.
OR
I ou are a contractor artici atin in the Permil e Account S stem and have ade Late urrds check here
i ou want lhis rocessed throu h our account
JoB annx�ss �� ��L�1� �
O WNER
CONTR.ACTOR 1��+ �
I am tbe: ❑ Owner OR Contractor
,LJ5E CATEGORY
„�Single Faznily ❑Duplex ❑ Vlu3ti-Family ❑Rental ❑Commercial ❑lndustrial
Work being done:
ROOFING
'�ear of�and replace c�xisting roofing on O house.❑garage �r�.�'� �� ��� ���'�" �Y�
❑Replace wood decking
�` 1���"�
❑Add l layer of roofing to the existing ]ssyer(s)on❑hause,L]garage
This work is being done due to�Hail F?amage ❑Other
sIDnvG �R-�°
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with�inyl
❑Replacing steel or aluminum with vinyl(circle ste�]or aluminum)
❑Replacing �viih
This work�being done due to❑Hail Damage ❑Ocher
When siding is done, one of t6e baxes below must be checl�ed:
1) ❑Electric—E�cisting Eleetric[�Eeter,reeeptxle,lighting and Elecirie Service encranee alterations'modifications are being performed
by
(Nan�e of Liocnud IIectri c Ceutmcyor)
AVD �"Elecc�ic lr�tallaaon Vcrifcation form is aztached OR ❑Separate L•lect Permit will be requested.
2) ❑Electric—No[Applicable because: �]I3locks previously instalEed_ LJ No outside lightc C Other
❑Ir�stall new or❑Replace gutters
❑Ir�stall new or O Replace downspouts
Other related work being done: (please note)
l Y V�
Value of the job$ 1�f " ' /' (include Cait market price for labor even ifyou are not paying for labor) 03/02