HomeMy WebLinkAbout0157650-Building (roof) � CITY OF OSHKOSH No 157650
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3276 OLD ORCHARD LN Owner LINDA C CARLSON Create Date 09/10I2013
Designer Contractor HICKEY ROOFING
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-1 Class of Const: Size
Unfnished/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 Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature ,SFR\Tear off and replace roofing on house and garage
of Work ',
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HVAC Contractor Plumbing Contractor
✓ Electric Contractor .
Fees: Valuation $11,180.00 Plan Approval $0.00 Permit Fee Paid $112.00 Park Dedication $0.00
Issued By: L��`z^ Date 09/11/2013 Final/O.P. 00/00/0000
�
� Permit Voided', Parcel Id# 1417860000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address 1427 BROAD ST OSHKOSH WI 54901 - 3047 Telephone Number (920)426-4008
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not perFormed within two business days from the time the project is ready.
p 10 13 01:14p Hickey Roofing Inc 920-232-0354 p.1
Ciry of Oshkosh �
Inspection Services Division �
P O Box 1130
Oshkosh, WI 54903-1 1 30
Phone:{920)236-5050 �� fH
Fax:(920)236-5084
Roofing � Siding Permit Application �N'HF\VATFR
• Application(s)and fee(s) can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box ]128,
Osbkosh WI 54903-1 128. Commencing work without permit(s)will result in fees being doubled or$)00.00 plus the
normal permit fee,which ever is greater,
OR '
IJvou are a contractor participatinP in the Permit fee Account Sv.stem and hal�e adeauate funds. check here
if you warrt this processed ihrou�2h your account �I
ADDRES �� J C���� , � ' ✓ ' � '
JOB S �
OWNER -s'¢Y�"
CONTRACTOR !�( L
I am t6e: ❑ Owner OR �Contractor
�E CATEGORY
Sinole Family ❑Duple� ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFIlYG
,�'fear off and replace existing roofing on�house,,��araee
❑Rcplace wood decking
❑Add 1 laycr of roofing to t�e existing layer(s)on�house,❑garage
'I'his work is being done due to❑Hail Damage ❑ Oiher
SIDING
❑lnstal I siding on ❑house, ❑garage
❑Replacing vim�l with vinyl
❑Replacing steel or aluminum with vinyt(circle steel or aluminum)
❑Replacing �vith
This work is being doae due to❑Hail Damage ❑Other
VVhen siding is done, one of the boxes below must be checked:
I) ❑Electric—Existing Eledric Meter,racepta.cle,lighting and Electric Sen�ice entrance aiterations!mod�cations ar�e beine performed
by '
(Pfame o!Licensed Elcctne Contractor)
AND =Electric Installation Verificalion form is attached � C Separate Elect Permit�vill be requested.
2) � El��ic—Not Applicable because: I.-J Blocks previovsly installed. fJ I�o outside tights. J Other
❑Install new or❑Replacz guttcrs
❑Install ne�v or❑ Replace dow�nspoats
Other related w•ork being done: (p]ease note)
Valae of the job��I�'�/� (include fair mazket price for labor even ifyou are not�aying for labor) 03/02