HomeMy WebLinkAbout0157567-Building (roof) �
� CITY OF OSHKOSH No 157567
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 949 OSBORN AVE Owner NATALIE J SMITH Create Date 09/05/2013
Designer Contractor OWNER
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building 0 Sign 0 Canopy � Fence � Raze I
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 � Post � Treated Wood
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Occupancy Permit Occupancy Fee _ $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/reroofing house
of Work
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HVAC Contractor Plumbing Contractor
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Electric Contractor
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: -� �� Date 09l05/2013 Final/O.P. 00/00/0000
❑ PermitVoided Parcelld# 1310200000
In the performance of this work I agree to perform ali work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to se e any necessary appr Is before starting such activity.
I have read and d rstan the af e menti n ' fo 'on.
Signatur Date ��
genUOwner :
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Address Oshkosh WI 54901 - 0000 Telephone Number
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To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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City of Oshkosh �
Inspection Services Division
P O Box 1130 � ;
Oshkosh,WI 54903-1130 �
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Phon(:(9j 0)236-5050 Q�HK� �
Fax: 920 236-5084 �
C�tV THF WATFR €
Roofing & Siding Permit Application �
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� A lication s and fee s can be brou ht to Ci Hall Room 205 or mailed to Ins ection Services PO Box 1128 �
PP � ) � ) g tY , P � ,
Oshkosh WI 54903-1128. Commencing wark without permit(s)will result in fees being doubled or$]00.00 plus the �
normal permit fee,which ever is greater.
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If vou are a contractor participatin� in the Permit fee Account Svstem and have adequate funds check here �
i�you want this processed throu�vour account (1 �
JOB ADDRESS �� OS[ ll Jr� 1 J V 'C�
� OWNER I V lJl it,l.l l� � �,r�QI'�i 1
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CONTRACTOR
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I am the: �Owner OR ❑ Contractor #
i]SE CATEGORY
l�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
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Work being done: Z
ROOFING
: �Tear off and replace existing roofing on�house,❑garage
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❑Replace wood decking F
❑Add 1 layer of roofing to the existing la er(s)on O house,❑ arage
This work is being done due to❑Hail Damage �Other �./ '— C-e �`�
SIDING `
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to❑Hail Damage ❑Other
When siding is done, one of the boxes below must be checked:
1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by �
(Name of Licensed Electric Con[ractor) P
AND C:Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested. #
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2) ❑Electric—Not Applicable because: f:-J Blocks previously installed. ❑No outside lights. ❑Other
❑Install new or❑Replace gutters
❑Install 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 if you are not paying for labor) 03/02 �