HomeMy WebLinkAbout0157604-Building (roof) � CITY OF OSHKOSH No 157604
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 85 LAKE ST Owner PATRICK C/DIANE M FLETCHER Create Date 09/09/2013 '
Designer Contractor GIBSON ROOFING
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � 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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature DUPLEX/ADD 1 LAYER TO THE EXISTING 1 LAYER ON THE HOUSE ONLY-NO STRUCTURAL CHANGES
of Work
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HVAC Contractor Plumbing Contractor
Electric Contrector
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: �n Date 09/09/2013 Final/O.P. 00/00/0000
❑ Permit Voided � Parcel Id#0803170000
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 derstand t afore mentioned information. p
Signature � Date / �' y� / 3
AgenbOwner
Address 639 W STHAVE 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 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,WI54903-1130
Phone:(920)236-5050 OlHKO.IH
Fa�c:(920)236-5084
Roofing & Siding Permit Application ON THE WATER
• 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
If vou are a contractor nartici�atin� in the Permit fee Account Svstem and have adeauate funds check here
if vou want this processed through your account I—I
JOB ADDRESS � � ��,�� ,fJ� .
OVb'NER �,�.�,`C���
CONTRACTOR_ fCJ�Qjr�,patii �� � �
I am the: ❑ Owner OR �F Contractor
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family �tRental ❑Commercial ❑Industrial
Work being done:
ROOFING
❑Tear off and replace existing roofing on❑house,❑garage
❑Replace wood decking
�/7 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 with
This wark 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 envance alterations/modifications are being performed
by
(Name of Licensed ElecUic Contractor)
AND ❑Electric Installation Verification form is attached OR C Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: C 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)
Value of the �Ob $� ��v 'G� (include fair market rice for labor even if ou are not a in for labor 03/02
.I P Y PY � )