HomeMy WebLinkAbout0156678-Building (roof) � CITY OF OSHKOSH No �5ss�s
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3140 BENNETT CT Owner CHRISTOPHER B/JILL M VALDEZ Create Date 07/12/2013
Designer Contractor HICKEY ROOFING
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign 0 Canopy � 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 � Other
0 Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE AND SHED-NO STRUCTURAL
of Work HANGES '*debit acct
�
'
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $7,776.00 Plan App�oval $0.00 PermitFee Paid $86.00 Park Dedication $0.00
Issued By: j�� Date 07/12l2013 Final/O.P. 00/00/0000
�
❑ Permit Voided I Parcel Id# 1342506200 '
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.
I 1213 09:06a Hickey Roofing Inc 920-232-0354 p,1
City of Oshkosh �
Inspection Services Division �
P O Box 1130
Osh[cosh,WI 54903-]130
Phone:(920)236-5050 (1 ��(O (�J
Fax:(920)236-5084 L1 I A� I I
Roofing & Siding Perrnit Application CN THE tiVATFR
• Applica.tion(s)and fee{s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkos��VI 54903-1128. Commencing work without pemut(s}witl result in fees being doubled or�100.00 plus the
norntal�ermit fee,which ever is greater.
OR
I ou are o contractor artici atin in the Perm'( ee ccaunt S stem and have ade uate unds chec�. here
i ou want this rocessed lhrou h oUr account
JOB ADDRESS ��T U ��-�'t/�'� / 1 �� �
owv� �,��r�S � �l '
CO:�'TRACTOR `�CK.-c�i��i' u t� � r�
I am the: � Ow�er OR ;�Gontractor :
�SE CATEGORY
ingle Family �Duplex O Multi-Family ❑Renta� O Commercia( 0 Industrial
�York being done:
ROOFING
�ear off and replace existing roofing or�house,�garage 5�nx-�t
❑Replace wood decking
❑Add l layer of roofmg to the existing layer(s)on❑house,�garage
This work is being done d�to�I-isil Damage O Otfier
SIDING
❑rnstatt s;cling on ❑Etousc, ❑gazage
❑Rep]acing vinyt with��inyl
❑Replacing steel or alumucwn with varyl(circle stcel or aluminum)
❑Replacing µ'��
71�is worEc is being done due to❑Hail Damage ❑Other
When siding is done,one of the boses below must be checked:
1) O Elcctric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations%modifications are being performed
6y
(Na�x of Licensed Ekctric CooUac�orl
AND 0 Electric Installation Verification form is atqahed OR C Separote Elect Pecmit will be requested
2) L]Electric—Not Appiicable because: ❑]Blocks prevausly installed. ❑No outside lights. �Other
❑install new or�Fteplace gutters
❑Install new or Q Replace downspouts
Other related work being done: (please note)
/ 4�
Valne of the job $ �. � ��G` ' (include fair market price foc labor e��en if you are not paying for labor) 03/02
�"G'uo