HomeMy WebLinkAbout0156513-Building (roof) E
� CITY OF OSHKOSH No 156513
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 356 W 12TH AVE Owner ANGEL J/ALMA CASIANO Create Date 06/28/2013
Designer Contractor HICKEY ROOFING
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building 0 Sign � Canopy � Fence � Raze i
Zoning R-2 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 � Post � Treated Wood —
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
., Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/rl eroofing house and garage �
of Work
, I
�
-- —�
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $9,330.00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: j � Date 07/02/2013 Final/O.P. 00/00/0000
�
❑ Permit Voided I� Parcel Id#0903740000
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.
Jun 2813 08:41 a Hickey Roofing Inc 920-232-0354 p.11
City of Oshkosh �
Inspection Services Bivision
POBox1130 �
Oshkosh,Wt 54903-17 30
�'hone:(920)236-5050 O u�/O u
Fax:(920)236-5084 r �i� r-1
ON 7H=�.'fh1FR
Roofing � Siding Permit Application
� Application(s)and fee(s)can be brought to Cin�Ha(l,Room 205 or mailed to Inspection Services,PO Box t 128,
Oshkosh WI 54903-1128. Commencing work without pemtit(s)will result in fees being doubled or$100.00 plus the
norrnal pernut fee,which ever is greater.
OR
I ou are a co»tractor artici atin in [he Permit ee Account S stem and have ade uate unds check here
i voa want this rocessed thro h voLr account .
�� �.iOB ADDRESS �� � J �
OWNER •r� S � � 1 �/V�{�
CONTRACTOR ` ,\C'v-^"1 �li v ' �
I am the: ❑Owner OR �Contractor
�E CATEGORY
mgle Family ❑Duplex ❑D4uhi-Eamily ❑Rental ❑Commercial ❑Industrial
R�ork being done:
ROOFING
,�Tear off and repla,ce existing rooFmg oc�-house�°��e
❑Re�lace nood decking
❑Add 1 layer of roofing to the existing layer(s)on 0 house,0 garage
This work is being done due to�flail Damage ❑Other
SIDIl�G
❑Install siding on ❑hause, 0 garaee
❑Replacing vinyl with vinyl
❑Replacing stcel or alummum with vinyl(circfe stee[or afuminum)
❑Replacing with
This work is being done due to�Hail Damage �Other
When siding is dorte,one of the boxes below�nust be checked:
1 j ❑Electric—Existing Elearic Meter,receptacle,lighting and Eleclric Service entrance alterations(modifications are being p�fortned
by
(Name ef Licea,ed E]xtric Coohacrori
AND >Electric Installation Verification form is attached OR L Separate Elect Permit wll be requested.
21 O Electric—Not A�licable because: =J Blocks previously installed �No outside lights. -Other
❑Tnstall new or�RepEace gutters
�Install n�w or 0 Replace downspouts .
Other related�vork being done: (please note)
i�
Value of the job$ �.� �Q (inctude fair market price for labor even ifyou are not paying for labor) 03l02