HomeMy WebLinkAbout0158487-Building (roof) � CITY OF OSHKOSH No 158487
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER ,
Job Address 1234 HAZEL ST Owner JOHN R/DORIS L BAUM LIFE ESTATE Create Date 10/28/2013
Designer Contractor DNR ENTERPRISES INC
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze
Zoning R_1 Ciass 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 0 Floating Slab � Pier 0 Other
� Concrete Block � Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature ISFR!Re-roofing the house(complete tear off-no structural work).
of Work �I
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i
HVAC Contractor Plumbing Contractor
Electric Contractor �
Fees: Valuation $4,890.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: f� ,� Date 10/28/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcei Id# 1513750000
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 u fore mentio d m i� /2�,
Signature �, Date � ( �
Owner
Address 14 4 H EL ST OSHKOSH WI 54901 - 0000 Telephone Number 231-1619
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 Of HKO�
Fax:(920)236-5084
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Roofing & Siding Permit Application .
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1 1 28. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
IJ vou are a contractor participatinQ in the Permit fee Account Svstem and have adeguate funds, check here
if vou want this processed through vour account n
JOB ADDRESS I Z 3� �A��L--
OWNER �A t,� t'Y1 •� af+►.7 / �6�—lS
CONTRACTOR DN2-�N?�TL P�S�� �C� �
I am the: ❑ Owner OR �'Contractor
USE CATEGORY
.�(Single Family ❑Duplex ❑Multi-Family 0 Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
-�'Tear off and replace existing roofing on�house,O garage
❑Replace wood decking
❑Add 1 layer of roo6ng to the existing layer(s)on�house,❑garage
This work is being done due to❑Hail Damage ❑Other ��4 �CC
SIDING
O Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or alutninum with vinyl(circle steel or aluminum)
�Replacing with
This work is being done due to 0 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 Electric Convactor)
AND _-'Electric Installation Verification form is attached OR �Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ._;J Blocks previously installed. C"'No outside lights, f_:Other
❑Install new or O Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
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Value of the job $ � � � �� (include fair market price for labor even if you are not paying for labor) 03/02