HomeMy WebLinkAbout0158319-Building (roof) � CITY OF OSHKOSH No 158319
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD '
ON THE WATER
Job Address 1221 W 9TH AVE Owner FRANCES V YOUNGWIRTH LIFE ESTATE Create Date 10/1 S/2013
Designer Contractor YELLOW JACKET CONSTRUCTION
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy 0 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 0 Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Piain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/reroofing house only
of Work I
�
� I�
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,150.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: J� Date 10/18/2013 Final/O.P. 00/00/0000
� Permit Voided�, Parcel Id# 1307650000
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 cessary approvals before starting such activity.
I have read an derstand the afor ioned info .
Signature Date � — �
AgenUOwner
Address 961 BUTLER AVE WINNEBAGO WI 54985 - 0000 Telephone Number (920)231-8840
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 l 130 �
Oshkosh,WI 54903-1130 :
Phone:(920)236-5050 O HK01H
Faac:(920)236-5084 �
� ON THE WATER .
Roofing & Siding Permit Application
� Application(s)and fee(s)can be brought to City Hall,Room 205 ar 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
Jf vou are a contractor nai•ticipating in the Permit fee Account Svstem a»d have adequate funds check here
if vou want this processed through vour account n
JOB ADDRESS /pCpL � l.t.J + � � /q J� .
OWNER
CONTRACTOR y� 1�o� �e c�CE`� �v✓l�cFCJ C�`��c�+�
I am the: ❑ Owner OR �Contractor
USE CATEGORY
�(,Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
�(Teaz off and replace existing roofing on�house,�garage
❑Replace wood decking ��"'1
❑Add 1 layer of roofing to the existing layer(s)on❑house,�garage
This work is being done due to�Hail Damage �Other__ �Ci1�
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing �vith
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 Elec[ric Contractor) -
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. ❑Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
ac
Value of the job $ b� v�/ (include fair market price for labor even if you are not paying for labor) 03/02