HomeMy WebLinkAbout0157949-Building (roof) � CITY OF OSHKOSH No 157949
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 321 W 12TH AVE Owner BRUCE D CHAMBERLAIN Create Date 09/26/2013
Designer Contractor HICKEY ROOFING
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-2 Class of Const: Size
Unflnished/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 0
Use/Nature �SFR/tear off and re-roof house
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,800.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: ��(,J Date 09/26/2013 Finai/O.P. 00/00/0000
❑ Permit Voided 'I Parcel Id#0903930000
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.
p 2513 01:18p Hickey Roofing Inc 920-232-0354 p.1
City of Oshkos6
Inspection Services Division �
P O Box 1130
Oshkosb,WI 54903-I130 �
Phone:(920)23C�5050
Fax:(920)236-�084 O ��(O �
o^e r�i\vnrFR
Roofing & Siding Permit Application
� Applicarioti(s)and fee(s)can be brought to City Ha([,Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1 t28. Commencing work without permit(s) will result in fees being double�or$100.00 plvs the
norrnal permit fee,which ever is greater.
OR
1 ou are a contr cFor artici Ql1H in the Per 't e Account S stern and have ade uale unds check here
i �ou x-ant this rocessed throu h ur account'
JOB ADD �.� � t"L - I -�" � ��
01WN � �I ,�}���Y` 'J G�Cir�
CO'_VTRACTOR �1`,�'U j
I am the: ❑Owner OR �..Ccoiractor
USE CATEGORY
'T�i,'Singte Famity ❑Duplex Q iNulti-Fanti! •
;/ Y ❑Rental ❑Commerciai ❑ Iodustrial
Work being done:
R04FING
�Tear off and replace existing root"ing on,�house,0 garage
❑Replace wood deci3ng
❑Add] ]ayer of roofing tn the existing layer(s)on O house,p garage
This work is being doae due to�Hail Damage ❑Other
SIDING
O Install siding on �housc, C]garage
❑Replacing vinyl with vinyl
�Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work'ts being done due to�Hail Demage O Other
When siding is don�, one of the boxes below must be checked:
1) CJ Ele+cq�ic—Eacisting Electric Meter,receptaclz,lighting and Electric Service en�ar►ce alterations/modif:cations are 6eing performed
by
(Name of Liceoxd Electri c Coatruter)
1�ND �"Electric lnstaltation Verification form is attached QR ❑geparate Elect Permit wip be requc�tud.
2) O Elec�ric—Not Appiicable because: ❑J Blocks previous(��iaslalled. C No outside lights. C Other
0 lnstall netiv or�Replace guttccs
O Install new or O Replacc�ownspouts
Other related work being doue: (please note)
,(� �f�J v''�
Valae of the job$ CC/��" " (include fair markec price for labor even ifyou are not paying for labor) 03/02