HomeMy WebLinkAbout0156511-Building (roof) � CITY OF OSHKOSH No 156511
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1336 MARICOPA DR Owner ASHLEY SIEWERT Create Date 06/28/2013
Designer Contractor HICKEY ROOFING
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy 0 Fence � 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 0 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/reroofing house and garage
of Work '
i
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $12,925.00 Plan Approval $0.00 Permit Fee Paid $118.00 Park Dedication $0.00
Issued By: ��� Date 07/02/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1312390000
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 28 13 08:39a Hickey Roofing Inc 920-232-0354 p.2
Ciry of Oshkosh �
Inspection Services Division
P O Sox1130 �
Oshkosh,WI 54903-1130
Phone:(920)23�5050
Fax:(920)236-�084 O HKO H
e••.rH= �.vr.rFR
Roofing � Siding Permit Appfication
• Application(s)and fe�(s)can be bmught to City Ha13,Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh Vb'1 54903-1128. Commencing work without permit(s) will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
1f vou are a contractor narticipatins� in the Permit fee Account Svslem and have adequate funds check here
if vou want this processed through vour acco:rnt �
�oB annx�ss__ I �3 [� /�GE�u.C ��c.� !-� �
O�VNER �'��N
co�rrRacrox ���'�l' �i �
I am the: ❑Owner OR �Contractor
�E CATEGORY
Single Family O Duple�c ❑Multi-Family �Rental �Commercial �Industrial
V�%ork being done:
ROOFING
�Tear offand replace existine roo�ngon]S�house,�garage
❑Replace wood decking
❑Add 1 layer oL'roofing to the existing layer(s)on�hotise,�garage
This work is being done due to�Hail Damage ❑Other
SIDING
❑Install siding on ❑house, ❑garage
❑Reptacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Rcplacing with
This work is being done dae to O Hail Dama�e �Other
VVhen seding is done, one of the boxes below must be checked: :
I) ❑Electric—Gxisting Blectric Meter,receptacle,(ighting and Electric Service entrance alteraiions/modifirations are being performcd
by
(name of Licrnsed FJecUic Cartracta)
AND ❑Electric Installation Verification Porm is attached OR J Separate Eled Pem�it will be requestod.
2) ❑Elxtric—Kot Applicable because: fJ J Blocks previo�sly installed. ❑No ourside lights. 17 Other
❑Install new or�Replaoe gutters
❑]nstall neH�or�Replaoe downspou�s
Other related svork being dane: (please note)
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Value of the job$ 1 (inc[ude fair market price for labor even if��o�are not paying for labor) 03/�2