HomeMy WebLinkAbout0157891-Building (roof) � CITY OF OSHKOSH No 157891
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1426 OREGON ST Owner NICHOLAS A INDERDAHL Create Date 09/23/2013
Designer Contractor ALLIANCE CONSTRUCTION INC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze �j
2oning C-3 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection ;
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 �DUPLEX/reroofing duplex
of Work � �
— J
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,200.00 Plan�val $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: � Date 09/23/2013 Final/O.P. 00/00/0000
� Permit Voided'I Parcel Id#0304440000
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 pe ' ication within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to ecure any cessary approvals before starting such activity.
I have read an und rstand t e afore me � d information.
Signature Date ��/�
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.IH
F�:(920)236-5084
Roofing & Siding Permit Application �N 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 you are a contractor participating in the Permit fee Account Svstem and have adeguate funds, check here
if vou want this processed throu�h vour account I—I
JOB ADDRESS l._.
ON'NER
CONTRACTOR ����� Lc_('�(�. �
I am the: ❑ Owner OR �Contractor
USE CATEGORY
❑Single Family �uplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
�'ear off and replace existing roofing on�iouse,�garage
❑Replace wood decking
❑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
O 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 ❑Sepazate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: C J Blocks previously installed. ❑No outside lights. ❑Other
❑Install new or O Replace gutters
❑Install new or O Replace downspouts
Other related work being done: (please note)
VSIUC Of tlle]Ob $ 'nclude fair market price far labor even if you are not paying for labor) 03/02