HomeMy WebLinkAbout0158297-Building (roof) _
� CITY OF OSHKOSH No 158297
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 291 295 S WESTFIELD ST _ Owner ANTHONY E/JOAN M JAWORSKI Create Date 10/15/2013
Designer Contractor HICKEY ROOFING
Inspector John Zarate
Category 041 -Residential Roofing _ Plan
Type � Building � Sign � Canopy _ � Fence _� Raze �
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 � 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 MULT LIMFI A Y/tear off and re-roof house and garage
of Work
I**debit acct** '
I
� I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $16,904.00 Plan Approval $0.00 Permit Fee Paid $142.00 Park Dedication $0.00
Issued By: ���-�J'—►1� Date 10/16/2013 Final/O.P. 00/00/0000 �
❑ Permit Voided ' Parcel Id#0615180000
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.
•t 1413 02:12p Hickey Roofing Inc 920-232-0354 p.1
Ciry of Oshkosh �
Inspection Services Division �
POBox1130
Oshkosh,WI�4903-113D
Phone:(920)236-5050 0�--�K.O�N
Fax:(920)236-�034 Oti THf WAif.R
Roofing � Siding Permit Application
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services, PO Box �128,
Oshkosh WI 54903-1128. Commencin?work without permit(s)will result in fees being doubled or$100.00 plus the
normal Qermit fee, v�-hich ever is greater.
OR �
I ou are a contractor artici atin in the Perm't e Account S stem and have ade uate unds check here
i ou want this racessed throu b our account
JOB ADDRESS
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OWYER ' � ��ti'� v��
COVTRACTOR ���� �� �+Z�� �
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I am tbe: � Owner OR ,�I`�ontractor .
USE CATEGORY
❑Single Fam7y �Duplex ❑Multi-Family 0 Rental ❑Commetcial ❑lndustria]
Work being done: '
ROOFING
�,�Teaz off snd replace existing roofing on�ouse,�.garage
�ReQlace wood dedcing
L7 Add l layer�f roofing to the eristing layer(s)on❑house,0 garage
This���ork is being done due to 0 Hail Damage ❑Other
SIDING
�Install siding on ❑house, ❑gacage
�Replacing vicryl with vinyl
❑Replacing stcel or aluminum with vinyl(ciccle steel or alummum)
❑Repiacing with
This work is being done due to O Hail Daroage ❑Other
VVLen siding is done,one of the boxes below must be checked:
1) t7 Electric—Exiscing Electric Meler,receptacle,lighting and Electric Service entrance alterations/rtwdificati�r►s ane being performed
� (�atx oELicensod flxhic Coetractor)
AND �7 Electric Installation Verification form is attached OR G Separate Elect Permit will be requested.
2) ❑E]ectric—Not Applicable because: C J Blocks pe�viously installed. �No outside lights. ❑Other
❑Instal]new or L]Replace gutters
❑Install new or 0 Replace do�vnspouts
Other related work being done: (please note)
Value of the job� ��r 7 �� `2� _(include fair market price for labor even if you are not paying for labor) 03/02