HomeMy WebLinkAbout0157754-Building (roof) /�'� CITY OF OSHKOSH n►o 157754
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 715 BALDWIN AVE Owner JUDITH ANN STROMME Create Date 09/16/2013
Designer Contractor HICKEY ROOFING
Inspector Tom Spierowski
Category 041 -Residential Roofing Plan
Type � Building 0 Sign � Canopy � Fence � Raze �
�
Zoning R-1 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 0 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 reroof house
of Work
i
� —.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,538.00 Plan Approval $0.00 Permit Fee Paid $72.00 Park Dedication $0.00
Issued By: �?�� Date 09/16/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1109420000
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
AgenbOwner
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 1613 01:17p Hickey Roofing Inc 920-232-0354 p.1
City of Oshkosh
Inspection Servioes Division �
P O Box 1130 �
Oshkosh,WI 54903-1130
Phone:(920}236-5050 �—O �
Fax:(920)23C�5084 U 1--�K
Roofing & Siding Permit Application �ti T'�F ���TFR
• Application(s)and fe.�(s)can be bmught to Cily I-�all, Room 205 or mailed to lnspection Services,PO Box 3]28,
Oshkosh W1 54903-1128. Commencing work without pecmit(s)wi�l result in fees being doubled or$100.00 plus the
norrnal permit fee,whicb ever is gceater.
OR
I �ou are a contractor ariici alin in the Permit fee Account Svsiem and have adequate funds check here
�ou want thrsprocessed through vour account
JOB ADDRESS /�� ' �`-'
OWNER J.t�(�
CONTR�► G� � �
I am the: ❑Owner OR �Contractor
J�E CATEGORY
Single Family ❑DupEex �Multi-Family ❑Renial �Commercial ❑Industrial
Work being do�e:
ROOFIlV G
,�Tear of�'and r�epface existing roofing on,�house,fl garage
�Replace w•ood decking
❑A�id 1 Iayer of�ooSng to the existing layer(s)on❑house,0 garage
This work is being done due to�Hail Damage ❑Other
SIDING
�Install siding on ❑house, p garage
O Repiacing vinvl with vinyl
O Replacing steel or aluminum with vinyl(circle sieel or aluminum)
❑Replacing with
i3iis work is being done due to p Iiail Damage ❑Olher
�hen siding is done,one of the boxes below must be checked:
1) 0 Electric–Existing Electric Meter,receptacle,]ighting and Electric Service entrance alteratioeslmodifications are beir�perforrned
�y
(N�rocofLictnsad Eloaric Cotrraclar)
A1VD �Electric Insta]lation Verification form is attached OR 7 Separate Elect Pertnit will be�equested.
2) ❑Electric–NM Applicabk because: C:J Blocks previousty installed, ❑No oatside lights. �Other
❑Install new or 0 Reptace guttets
❑Instalt new or�Replace downspouts
Other related vrorlc being done: (please note)
� G
Value of the j�b$ `J� � �a - (;nctude fair marke[price for labor even ifyou are not paying for fabor) 03/02