HomeMy WebLinkAbout0156520-Building (roof) � CITY OF OSHKOSH No 156520
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1922 1928 OREGON ST Owner 1922 OREGON LLC Create Date 07/03/2013
Designer Contractor ACCURATE ROOFING _
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence 0 Raze
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 MULTI-FAMILY!tear off and re-roof house :
of Work
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il
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
issued By: � Date 07/03/2013 Final/O.P. 00/00/0000
�-'
� Permit Voided' Parcel Id# 1400790000
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 appfication within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals b ore starting such activity.
I have read and understand the afore mentio ed i
Signature Date 3 �
AgenUOwner
Address E6082 S SHORE RD WEYAUWEGA WI 54983 - 0000 Telephone Number 303-1897
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.
City of Oshkosh �
Inspection Services Division �
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 O.IHK01H
F�:(920)236-5084
ON THE WATER
Roofing & Siding Permit Application
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 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
If vou are a contractor participatinQ in the Permit fee Account Svstem and have adequate funds, check here
�vou want this pi•ocessed throu�vour account n
JOB ADDRESS I�Z 2 ` ��T� �K-�/�-� S�-
OR'NER �J�N �f-�N f�C�Wr
CONTRACTOR f � ���l��Te o�T����
I am the: ❑ Owner OR 2ontractor
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ntal ❑Corrunercial ❑Industrial
Work being done:
ROOFING
ear off and replace existing roofing o house,❑garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to❑Hail Damage ❑Other
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum H�ith vinyl(circle steel or aluminum) �
❑Replacing with
This work is being done due to❑Hail Damage ❑Other
When siding is done, one of the boxes below must be checked:
1) ❑Electric–Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed ElecVic Contractor)
AND ❑Electric Installation Verification fonn is attached OR �Separate Elect Permit will be requested.
2) ❑Electric–Not Applicable because: 7 J Blocks previously installed. C No outside lights. ❑Other
❑Install new or O Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ ��, c'�f\C� C'�(L_(include fair market price for labor even if you are not paying for labor) 03/o2
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