HomeMy WebLinkAbout0157888-Building (roof) � CITY OF OSHKOSH No �s7sas
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1904 OREGON ST Owner MELVIN W/BRUCE DISCHER Create Date 09/23/2013
Designer Contractor HICKEY ROOFING
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building 0 Sign � Canopy � Fence � Raze j
Zoning R-2 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 0 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 IRENTAL/tear off and re-roof house
of Work '
',"debit acct**
HVAC Contractor Plumbin Contractor
9
Electric Contractor
Fees: Valuation $4,100.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: �� Date 09/23/2013 Final/O.P. 00/00/0000
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❑ Permit Voided' Parcel Id# 1401900000
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
Agent/Owner
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.
Inspection Services Division ' i
P O Box 1 l30 �
Oshkosh,WI 54903-1130
Phone:(920)236-SOSU a �o.�
Fax:(920)236-5084
Roofing 8� Siding Permit Apptication ��T~F,f,�TFR :
• Application(s}and fee(s)can be brought to City Hall,Room 205 or mailed to[nspection Services, P�Box I 128, :
Os6kosh WI 54903-1 I28. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
r�ormal permit fee, which ever is greater.
UR
If vou are a contractor particinatin¢ in the Permitfee ,9ccount Svstem and have adeauate funds. check here
it vou want this processed lhraugh vour account �_. :
JOB!►DDRE S ��U� �r '� �Y7 �
ov��u 1 rca.e�P
COI�'IR�CCOR �i'� 'uL�'�/ �` �('
I am the: ❑Owner OR ❑ Contractor
USE CATEGORY
❑Single Family ❑Duplex ❑Mutti-Family �l,�ental ❑Commercial ❑Industrial
Work being done:
ROOFING
�fear off and neplace existing roofmg on�ouse,�7 garage
❑Reptace wood decking
❑Add 1 tayer of roo6ng to the existing layer(s)on�hous�O garage
This work is being done d�re to O Hail Damage ❑Ocher
SIDING
O Install siding on ❑house, ❑garaa
❑Replacing vim�l with vinyl
❑Replacing sieel or aluminum witi�vinyl(circte steel or aluminum)
❑Replacing with
This work is being done due to Cl Hail Damaee ❑Other
When siding is done, one of the boxes below must be checked:
I) ❑Electric—L-xisling Electric Meter,rsceptacle_lighting and Eleclric Service en�ance aherations/rnodificatioru are being performed
by
(Name of Licensed Elaaric Cortraaor)
A1�D .�Elecvic Installa#ion Verification form is attached OR ❑Separate ElectPermit wi3E be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. -No outside lights. ❑Other
�lnstall�w or❑Replace gWters
0]nstall�w or O Replace dow�nspouts
Other related work being done: (please note)
,n ��
`'alue of the job$ � I V G� ' (inctude fait market price for labor even'tf you are not paying for]nbor) 03l02
l'd �9£0-Z£Z-OZ6 �u� 6ui�oo�{�(e�oiH �6 6�L 6 £l £Z d�