HomeMy WebLinkAbout0156512-Building (roof) #
� CITY OF OSHKOSH No 156512 `
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1552 ALGOMA BLVD Owner STEPHEN/JENNIFR SZYDLIK Create Date 06/28/2013
Designer Contractor HICKEY ROOFING
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign 0 Canopy � Fence � Raze j
Zoning R-1C 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 0 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
�
I — — — I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $26,985.00 Plan Approval $0.00 Permit Fee Paid $184.50 Park Dedication $0.00
Issued By: �� Date 07/02/2013 Finai/O.P. 00/00/0000
❑ Permit Voided; Parcel Id# 1201080000
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
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
i
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 08:39a Hickey Roofing Inc 920-232-0354 p.4
Ciry of Oshkosh �
Inspection Services Division
P O Box 1130 �
Oshkosh,WI 54903-1 I3U
Phone:(920)236-5050 O ��O �
F�:(920)236-5084 _
Ofr T:i^:YhTFR
Roofng � Siding Permit Appiication
� Application(s)and fee(s)can be brovght to City Ha[I,Room 205 or mailed to Inspection Services, PO Box 1128,
Os�icosh WI 54903-1]28. Commencing work without perrnit(s}will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is a eater.
OR
If VOU ar¢ a COT7fI'QCtOr pQrtiC7Daft17F ir7 the Permit fee Account Svstem and have adequate fcrnds check here
i1'vou want this processed through your account .�
JOB ADDRESS �5�� �` � —
OWI�'ER ,��f/'�f� �� G ��..C�t.�
COIYTRACTOR G� � �
I am the: ❑Owner OR �ontractor
�U E CATEGORY
Single Family ❑Dupkx O Multi-Fami(y �Rental �Commercial ❑IndustriaE
Work 6eing done:
ROOFING
'�Tear offand replace exisiing roofing on j7�housc,�garage
�Replace wood decking
D Add 1 laycr of roofing lo ihe existing layer(s)on❑house,0 garage
This work is being done due to O Hail Damage ❑Other
SIDING
0 lnstall siding on 0 hause, ❑garage
Q Replacing vim�l with vinyl
Q Replacmg stael or aluminum�vith vinyl(circle steel or aluminum)
❑Repl�ing K�ith
This work is being done due w O Nail Damage ❑Otlter
VVhen siding is doae,one of the boxes below musi be checked:
1) ❑Etectric—E.�:isting Eledric AAeter,receptac3e,lighting and Electric Service entrance alterationslmodifications are being performed
by
(�ame ofLicmx+d Flahic Corwractar)
ATID �Electric Installation Verification forrn is attached OR 7 Separate Elect Perer�it will be requesled.
2) ❑Electric—Not Applicable because� 0 J Blocks previously installcd. C No outside lights. �Other
�inseal]new or O RepIace gatters
0 Install new or❑Replace downspoul�
Other related work being done: {please note)
�� �$� `�,
Value of t6e job$ T (include fairmarket price for Labor cv,�if you are not paying for labor) 03/02