HomeMy WebLinkAbout0156943-Building (roof) � CITY OF OSHKOSH No 156943
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD '
ON THE WATER
Job Address 318 CHURCH AVE Owner WALLACE CHILDREN EDUCATION FUND Create Date 07/29/2013
Designer Contractor GARY MISHKO :
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building 0 Sign � Canopy � Fence � Raze �
Zoning C-3 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
0 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/reroofing house
of Work
:
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 07/29/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel Id#0703320000
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 se any necessary provals before starting such activity.
I have read a und stand the afore ntioned information. �`
Signature Date � l �
AgenUOwner
Address 510 SHERRY ST NEENAH WI 54906 - 0000 Telephone Number 920-277-4347
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 � '
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Oshkosh,WI 54903-1130
Phone:(920)236-5050 �
Faac:(920)236-5084 ,,f
Roofing � Siding Permit Application °^�rM��vnrFe
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• 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$100.00 plus the
normal permit fee,which ever is greater.
OR
1/'vou are a contractor narticinating in the Permit fee Account Svstem and have adeguateJunds check here
if vou want this processed through your account n
JOB ADDRESS �I � C�,� " R �� �
oW�R �o �-1 N t�..� �1�.�� C�
CONTRACTOR �-�A�� r,������.,
I am the: ❑ Owner OR �Contractor
i 1
USE CATEGORY
❑Single Family ❑Duple�c D Multi-Family �Rental ❑Commeroial ❑Industrial
� �
Work being done:
ROOFING
�I'ear off and replace existing roofing on�house,�garage
❑Replace wood decking
❑Add 1 layer of roofmg to the exisring layer(s)on 0 house,O garage
This woric is being done due to❑Hail Damage ❑Other
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing �vid�
This work is being done due to O Hail Damage O Other
When siding is done,one of the boxes below must be checked: ;
1) 0 Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being peiformed
by
(Name of Licansed Electric Contractor)
AND ❑Electric Installation Verification form is attached �R ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. ❑Other
❑Install new or O Rcplace gutters
❑Install new or 0 Replace downspouts
Other related work being done: (please note)
Value of the job$ �� O (include fair market rice for labor even if ou are not for labor 03l02
r y r�� )