HomeMy WebLinkAbout0156460-Building (roof) �
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� CITY OF OSHKOSH No 156460 f
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 832 JEFFERSON ST Owner PAMELA J ROHDE Create Date 06/28/2013
Designer Contractor HICKEY ROOFING
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze
—
Zoning R-5 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 � Pier � Other
� Concrete Block 0 Post � Treated Wood -- ---
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/reroofing house
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,330.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: �. Date 06/28/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1002150000
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 speci�ed 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.
Jun 2813 08:40a Hickey Roofing Inc 920-232-0354 p,8 '
City ofOshkosh �
Ir�spection Services Division �
P O Box 1130
Oshkosh,MI 54903-1 l30
Phone:(920)236-5050 O �.�(O�L-1
Fax:(920)236-5084 � ��� � �
Roofing 8� Siding Permit Application �� rW-�:,,.�FR
• Applicacion(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh 1�47 54903-1128. Commencing work without permit(s) will resalt in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
Ifyou are a contractorgarticrpatirt� In the I'ermtt ee Account Si�stem and have adeguate funds, check here
if vou want tkis processed through vour account c�-
JOB ADDRESS O � �
OWIVER �� �(
CONTIt4CTOR �''
I am the: ❑ Owner OR �Contractor .
.�U�SE CATEGORY
�S Smgle Famity ❑Daplea O Ntulti-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
`�6 Teer off and replace existing roo6ng on�houce,❑garage
❑Replace wood decking
❑Add 1 layer of roofiog to the cxisting layer(s)on p house,l7 garage
This N�ork is being donc due to❑Hail Damage �Other
SIDING
❑Install siding on ❑hnusc, D garage
❑Replacing vinyl�vith vinyl
6 Rzplacing steel or aluminum�vith viny](cirele steel or aluminum)
❑Replacing utich
"This work is being done due to❑Nail Damage ❑Other
When siding is done,one of the boxes below must be checked:
1) ❑Ek�-ctiic—Existing Eiectr�ic A4eter,receptadc,l►ghting and Electric Senic:e entranec a]teralionsJmodifications are bemg performed
b��
(�amc af Licensed Elecuic Cauractori
AND f]Electric Tnstallation lrerification form is atiached OR O Scparau Elect Petmit will be requested
2) ❑Electric—Not Applicable because: �J Bloeks previously ir�stalled. ❑No outside lights. LI Other
❑Install new�or❑Replaoe guners
❑U�stall new�or�Repla�x downspouts
Other related work being done: (please note)
�
Value Of the JOb $ ,t � �li (inclode fair market price for labor even ifyou arc not paying for Eabor} 03/02