HomeMy WebLinkAbout0156860-Building (roof) � CITY OF OSHKOSH No �5ssso
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1621 BISMARCKAVE Owner DAVID B/LISA M WEILER Create Date 07/24/2013
Designer Contractor DAN V BINDER CONSTRUCTION
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building 0 Sign � Canopy � Fence � Raze �
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 � 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 SFR/Tear off and re-roofing the house and garage. No structural alterations will be made.
of Work
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,100.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: Date 07/24/2013 Final/O.P. 00/00/0000
� Permit Voided ; Parcel id#0613500000
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 1224 W SOUTH PARKAVE OSHKOSH WI 54902 - 6642 Telephone Number (920)231-2114
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.
_ P O Box l 130
� � Ostilcosh,WI 54903-113U :
� Clt1, Of aS�1,�OSh phonc:(920)236-SO50
Fax:(920)236-5084
Building Permit Applicatio� "'"�"���°'�`°'�"`"'""�
Projac �fa� / �,�/�.4�t-�L ,!�''c---� :
Address
Apptics�.t Ovmcr Contractor Teztant Other(describe)
Owner/ Name ��x-- WC.� .G✓" Phone
Tcnant
Address ��o�-/ /.3/�3/h�l-�c.�..�(C �v�- Eraail
Contractor Company Name /Jf�l1/ V/��"c�< • CP�1 S� /�i�. Phone � 3 / �'�-�/Y
Contact -�i�a r..� �'r�.- Emai l �,'a..e_b�n��.i7c.�
Address / L �- y ►�" •S o u�-�i I'G1/�.. �y� _
5tate Credential#'s -�7 �� , /C�l0 26�9.Z ,
Dwelling Conaaccor Qualifier!t Dwelling Contraaor i� Building Conaactor Regisuqtion�!
`�b+�� Company Name Phone
Dest�►er
Contact Ecnai]
Address
Pe.taalt'�'ype Residemial Single Femily Residential I7uplex Commercial Multifamily Industri�al
C�t�gory New Addition Alteration
Project eGc.✓ d%r"' �'d � ��reo��
Descriptioa
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Me¢b.anical Separate pern►its will be obtained for the followitt, :
Pormita Electrical b Pliunbin,g by Hesiing by
Y�lne of Job ` '
S��0 (Valuc for materials 8i IaDor is req.tn ensure eonsiyte it�ees for atl applicants.)
�ayment by: Check �t CaSkz rmit Fee Account
/certify tira rlbvve lr furm�ion is comp/ete and accurete. Any drvlattnns from the a6ove submirted i•�'or►nation may require additional per,nhs
ro De obfained I acbwwlsdge mid agree to�hese te►m.s. '
NHRlt' �
r— (Please princ) Date: 7 � 3
Signanue: ' -