HomeMy WebLinkAbout2013-Building (roof) � CITY OF OSHKOSH No 158420
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 700 W 4TH AVE _ Owne� RUSSELL F/DEBRA J HAMANN Create Date 10l23/2013
Designer Contractor SECURITY-LUEBKE ROOFING INC
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 i
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 SFR/tear off and re-roof house — - ,
of Work
- I*'ck#14936*" i
I
i
� — —
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation _ $3,750.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: ���^�' Date 10/23/2013 Final/O.P. 00/00/0000
❑ Permit Voided'� Parcel Id#0604000000
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 820 HYLAND AVE KAUKAUNA _WI 54130 - 1447 Telephone Number (920)766-7904
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 I 130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 ��(��� �
Fax:(920)236-5084 � � �
ON THf V�ATFR
Roofing & Siding Permit Application
• Application(s)and fee(s)can be brought to City Hall. Room 205 or mailed to Inspection Services, PO Box I 128, `
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
� /f you are a coi�Irac>or par7icipalir�� in 1he Perntil fee Accovnl Svsten7 and hare adet�uate ft+nds, check here
� if vou i��anl lhis processed throu�vorn• account n
JOB ADDRESS 700 W 4th Ave., Oshkosh WI 54902
O��'NER Russell & Deb Hamann
CO��TItAC1'OR Security-Luebke Roofing, Inc.
� I am the: ❑ Owner OR � Contractor
USE CATEGORY
�Single Family ❑Dup1e� ❑ Multi-Family ❑ Re��tal ❑Commercial ❑Industrial
Work being done:
ROOFING
�Tear off and replace existing roofing on�house,❑garage
❑ Replace��ood decking
❑Add I la�er of roofing to the existing layer(s)on O house,❑garage
This��ork is being done due to❑ Hail Damage ❑Other
SIDING
� ❑Install siding on ❑house, ❑garage
❑Replacing vin�l with vin}'1
❑Replacing steel or aluminum��ith�-inyl(circle steel or aluminum)
❑Replacing ��ith
This work is being done due to�Hail Damage ❑Other �
When siding is done,one of the boxes below must be checked:
I) ❑Electric—Existing Electric Meter.receptacle.lighting and Electric Sen�ice entrance alterations/moditications are being pertormed
b�
� (:�ame ofLicensed Eleetric Contractor)
AND Electric Installation Verification form is attached OR Separate Flect Permit���ill be requested.
� 2) ❑I:lectric—Not Applicable because: J Blocks pre��iousl��installed. No outside lights. Other
� ❑l�stal]ne���or❑Replace gutters
❑Install ne�r�or❑ Replace do�+�nspouts '
Other related work being done: (please note)
Value of the job $ 3,750.00 (indude fair market price 1'or labor even if}ou are not pa�inr for labor) 03/02