HomeMy WebLinkAbout0157586-Building (roof) � CITY OF OSHKOSH No 157586
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 458 W 19TH AVE Owner NANCI CARMELLA Create Date 08/21/2013
Designer Contractor GIBSON ROOFING
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Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � 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 0 Floating Slab � Pier 0 Other
� Concrete Block � Post 0 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(LATE PERMIT)/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE ONLY-NO STRUCTURAL CHANGES
of Work �
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,825.00 Plan Approval $0.00 Permit Fee Paid $158.00 Park Dedication $0.00
Issued By: �� Date 09/O6/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel id# 1411320000
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 td secure any necessary approvals before starting such activity.
I have read and u ersta d the afore me tioned inf rmation. �j
Signature Date C � �
A Owner
Address 639 W 5TH AVE OSHKOSH WI 54902 - 5832 Telephone Number 920-292-0929
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 pe�formed within two business days from the time the project is ready. :
Ciry of Oshkosh �
Inspection Services Division
P O Box 1130 �
Oshkosh,WI 54903-11.i0
Phone:(920)236-5050 �j�/
Fax:(920)236-5084 • ��I 11��,�� �
ON THE WATER '
Roofing � Siding Permit Application
• 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 wark without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater. :
OR
If vou are a contractor narticinatinQ in the Permit fee Account Svstem and have adeauate funds check here
if vou want this nrocessed throuQh vour account n
JOB ADDRESS - J � o � �� � ��'
O�i'NER / 1 6�1/� C�( � . V' +M. L l �.
CONTRACTOR � c �J�. ,/L �,'1� �� ,�
I am the: �Owner OR ❑ Contractor
USE CATEGORY
❑Single Family �Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
❑Tear off and replace existing roofing on 4�house,❑garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work 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 �,1�
T'his 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
(Nan�e of Licensed Elect�ic Convactor)
AND ❑Electric Installation Verification form is attached OR �Separate Elect Permit will be requested.
2) ❑Electric-Not Applicable because: �'J Blocl:s previously installed. ❑No outside lights. ❑Other
❑Install new or O Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
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Value of the job $ � � Z- �' (include fair market price for labor even if you are not paying for labor) 03/02