HomeMy WebLinkAbout0157084-Building (roof) � CITY OF OSHKOSH No �57os4
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1108 SCHOOL AVE Owner ARLEN L NEUBAUER Create Date OS/07/2013
Designer Contractor HICKEY ROOFING
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign 0 Canopy � Fence � Raze I
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab 0 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-roof house and garage
of Work �
"debit acct*'
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,981.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
issued By: ��r1.` Date 08/07/2013 Final/O.P. 00/00l0000
❑ Permit Voided'� Parcel Id#0204370000
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 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 0613 02:36p Hickey Roofing Inc 920-232-0354 p.1
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City of Oshkosh �
InspeGion Services Divisian �
P O Box 1130
Oshkosh,VVI 54903-1 1 30
Phone:(920)236-5050 �HK �--�
Fax:(920)�6-5084 OfR TNf LVATER
Roofing & Siding Permit Application :
• Application(s)and fee(s)can be brought to City�Iall,Room 205 or mailed io Inspection Services,PO Box 1128, :
Oshlcosh WI 54903-1128. Commencing work without permit(s)wiU result in fees being doubled or$100.00 plus the
normal permit fe�,which ever is greater.
OR
I ou are a contractor artici atin ia the Per i ee Account S �stem and have ade uate unds check here
i ou wa»[ this rocessed throu h aur account
dOB ADDRESS I/a;� ,S'��-�'-`�
OW1Y�R �ti �
CONTRACTOR �� l � �
I am the: ❑Owner OR �Contractor
TJSE CATEGORY
(�Single Family ❑Duplex �Multi-Family ❑Rentak �Commercial �industrial
Work being doue_
ROOFING
.�ear off and replace existin�roofing�ho�arage
�Replace wood decking �/ \
�Add 1 layer of roofmg to the existing layer(s)on�house,❑garage
T6is work is being done due to�Hail Damage ❑Other
SIDING
�Install sidivg on ❑house, ❑ga�age
�Replacing vinyl with vinyl
❑Replacing steel or aluminurn with vinyl(circle stEel or aluminum)
O Repiacine W"�
This w�ork is being done due to❑Hail Damage ❑Other
V�'hen siding is done,one of the boxes below must be checl�ed:
1) D Efectric—Existing Electric Meter,seceptacle,lighting and Elecdic Service entrance alterations!modifications are being performed
by
(Name af Lica�sed EI Wric Caatracror)
AND G Eleclric Installation Verification forrn is attached OR G Separate Ekct Pertnit will be requ�sbed.
2) ❑Elec[ric—Not Applicable because: ❑1 Blocks previously installed_ �No outside 3ights. 0 Other
❑Install new or O Replace gutters
❑Tnstall new or O Replace downspouts
Other related work being done: (please note)
/ include fair market nce for labor even if ou are not a in for labor 03/U2
Value of the job�_�� C P� y p Y g �