HomeMy WebLinkAbout0156966-Building (roof) � CITY OF OSHKOSH No 156966
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1523 MICHIGAN ST Owner ROSEMARIE KULIBERT Create Date 07/30/2013
Designer Contractor SCHULZE EXTERIORS LLC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze
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 � Pier � Other '
� Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures p
Use/Nature ,SFR/Tear off and replace existing roofing on house only. no structural changes.
of Work :
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I
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,200.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: Date 07/30/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1301350000
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 appr vals before starting such activity.
I have read and und nd th en oned information.
Signature Date `�/ V/I
AgenUOwner
Address 2315 PARKSIDE DR OSHKOSH WI 54901 - 0000 Telephone Number 920-379-4788
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 pertormed within two business days from the time the project is ready.
� ��'� �P
City of Oshkosh �� ���v �
Inspection Services Division ` �C �
P O Box 1130 �
Oshkosh,WI54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 �f�K�f� �
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-ll 28. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
�vou are a contractor particioatinQ in the Permit fee Account Svstem and have adeauate lunds check here
if vou want this nrocessed through vour account n
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JOB ADDRESS S � 1 " �/G�/ v
O��'NER D�7 � !/[ /' c•/
CONTRACTOR SG(,,:-- l Z- 4 ��1' ���/�C7�s
I am the: ❑ Owner OR C�Contractor
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
-¢lTear off and replace existing roofing on I�house,�garage .
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on O 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 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 ElecVic Contractor)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. C No outside lights. ❑Other
❑Install new or❑Replace gutters
O Install new or�Replace downspouts
Other related work being done: (please note)
Value of the job $ � �4 �-/ (indude fair market price for labor even if you are not paying for labor) 03/02 '