HomeMy WebLinkAbout0156578-Building (roof) � CITY OF OSHKOSH No 156578
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2635 MONTCLAIR PL Owner KARL J SCHULTZ Create Date 07/08/2013
Designer Contractor DAN V BINDER CONSTRUCTION
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze �
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 � 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/tear off and re-roof
of Work :
'debit acct" i
� I
'
—
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,300.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: �j�n�, Date 07/08/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1319250000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
1 have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address 1224 W SOUTH PARK AVE OSHKOSH WI 54902 -6642 Telephone Number (920)231-2114
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Pertnit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
;:i�y.:�t usRkosh .
InsFi;cuo�n S��vicos bivision
P Q Box 1i30 • °. �
Ostilcoat�WI 5�903-1]30 �
Yuonc:(920)236-5050 �
tax:(930) 236-SOt3�
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I A�n the: C7 Owner 017 �Contractor
USE CAT�Gp12y . '
�Single Famdy ODuplex Uhtulti-Farnilx ❑IZental ' C�Camruercial CJTn�iustnal �
. . �
�i�ork being daae: �
❑Addidoa 4 Deck/Fnrch;Patic •
0 Driveway/Pariong
�Exxmal Ren�odelie8 G Fence.�F[ed�ltCtaa�el 0 Gar alCitili Struccuze
s$ tY
d���p • ❑Hot TubiSpa ❑Inremal g,�r�pdel�g
. ,��Ss�a�Can°PY%p+�n8 ❑S�airlliondrail -
❑Stove/Fireplace
❑Swimrning pool u Wrecicing Pe�rt�t
�Ochcc_�� —/�q7r=
�ddition�l ini'oru�adon,such as pian submitt�l�d s�pprovAl, c,�ay be r�qnired bafore is�uaace.
loe�ted in the haUwaY� may be re.�erenced to not�if a.ay additbnal inform�tioh fs necessa .��
= Full d�scrip 'on o�work being done: ry
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G/r�a v c: ..�f�/ �7`:. ,S ' "
'1 s.+ 4a� � �� �`.�
n wo ot �ncluded in [his aoeti��tioo is aot rautted.
alue ot the job � °—=� -
�canLS.) lVslue for mu,�y and Labec fs requirtd W�ue r,wssisteney in��►�S D�n►ur fecs fo►aJ). .
IG�I. & D TE:
I certify the above information is comp�t��ac�,�e, �
information rna�.�require addetionQ!per»r�its ta be oblained 1 Q�jcnowled ferand��bove sub�itzed
g ugree to zhese rernas. '
Name: / i4 � �� , � J�
m����„�y
Signa�urE: � �- . .
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Date: /�
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