HomeMy WebLinkAbout2013-Building (roof) � CITY OF OSHKOSH No 157207
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER ;
Job Address 1275 MARICOPA DR Owner RONALD P ZIEBELL Create Date 08/14/2013
Designer Contractor HICKEY ROOFING
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy 0 Fence � Raze j :
Zoning R-1 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 0 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 house and garage
of Work
debit acct**
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $12,948.00 Plan Approval $0.00 PermitFee Paid $118.00 Park Dedication $0.00 :
Issued By:��� Date 08/14/2013 Final/O.P. 00/00/0000
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� Permit Voided� Parcel ld# 1312670000
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
AgenbOwner
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.
g 13 13 03:10p Hickey Roofing Inc 920-232-0354 p.1
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City of Oshkosh �
Inspection Services Division
POBox1130 �
Oshkosh,W[54903-1 l30
Phone:(920)235-50�0 O �O
Fax:(92D)236-5084
Roofing 8� Siding Permit Application OtV THF 1,VATFR
• Application(s)and fee(s) can be brought to City Hall,Room 205 or mailed to Tnspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being do�bled or$100.00 plus the
normal permit fee, wtuch ever is greater.
Oit
I ou are a coniractor artici arin in the Permit ee Account S stem and have ade uate unds check here
i �ou rvant this rocessed throu h �our account
�oB�D � � D� r� C,v �� �1�
O�VNER . L�t �V�
CO(VTRACI'OR CiY�� F'�
I am the: ❑ Owner OR �Contractor
U�E CATEGORY
-�ingle Family �Duplex 0 Multi-Ffunity ❑Rental ❑Comrnercial ❑Industria]
Work being done:
ROOFING
JE�_Tear of2 and replacc existing roofing on�}iouse,�age
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on�house,C]garage
This work is being done due to O Hail Damage ❑Other
SIDING
❑Install siding on ❑house, ❑gazage
❑Replecing vinyl with vinyl
❑Replacing steel or aluminum with viny9(circle steel or aluaunum)
❑Replacing with
This work is beiag done due to C7 1iai1 Damage �Other
When siding is done, one of the boxes below must be checked:
1) �E1ecUric—Existing Eiectric Meter,receptacie,lighting and Elcctric Service entrance altetations/modifications are being perfortned
by
(Name of Lioeosed Ekclric Contractor)
.4ND ❑Elcxvic Ir►stallation Verification form is amached OR �Separate Elect Permit wiIl be requcsted.
2) O Electric—I�lot Applicable because: 0 J Blocks previously installed. i:l No outside]ights. �Othcr
❑ Install new or 0 Replace gutters
❑instsil new or�Replace downspouts
Other related work being done: (please note)
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Value of the job$ ��� ���' (include fair market price for labor even ifyou are not paying for I$bor) 03102