HomeMy WebLinkAbout0157296-Building (roof) � CITY OF OSHKOSH No 157296
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1840 EVANS ST Create Date 08/19/2013
Project reroofing Project Number 0
Owner DR MITCHELL R TULIP Plan
Contractor ALLIANCE CONSTRUCTION INC
Inspector John Zarate
Designer
Category 041 -Residential Roofing Type of Plan
Zoning G2 Square Footage
Major Occ Const Class
Fire Protection � Sprinkled 0 Unsprinkled ( Sprinkler Design
Occupancy Permit Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
� Projection Canopies Signs
Use/Nature
of Work
COMM/reroofing dentist office ""check#6235
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation _ $7,500.00 Plan Approval $0.00 Permit Fee Paid $86.00 Park Dedication $0.00
Issued By: � Date 08/19/2013 Final/O.P. 00/00/0000
❑ Permit Voided i Parcel Id# 1519400200
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 p ' pplication within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and secure a y necessary approvals before starting such activity.
I have read d u[(dersta the afore m ' n information. `�
Signature Date b r ��� ��
AgenUOwner
Address 41 HORSESHOE RD OSHKOSH WI 54904 - 9363 Telephone Number 920-379-8484
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.
City of Oshkosh �
Inspection Services Division
P O Box 1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 O.IHKO.lH
Fax:(920)236-5084
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 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 narticipatinQ in the Permit fee Account Svstem and have adeguate funds check here
i�vou want this nrocessed through vour account n
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JOB ADDRESS / y � [v v�E.�.�'�!� ��
O�NER
CONTRACTOR L1 I/ �LQiLvC� ' �.,.-�.
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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�house,❑garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,O 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 Elecuic Contractor)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. ❑Other
❑Install new or O Replace gutters
❑Install new or�Replace downspouts
Other related work being done: (please note)
Value of the job $ �� �� ` �(include fair market price for labor even if you are not paying for labor) 03/02