HomeMy WebLinkAbout0158581-Building (roof) � CITY OF OSHKOSH No 158581
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2109 NEBRASKA ST Owner JOHN E BROWN Create Date 11/04/2013
Designer Contractor RB ROOFING&SIDING
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building 0 Sign � Canopy � Fence 0 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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR(RENTAL)/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE ONLY-NO STRUCTURAL CHANGES
of Work '
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HVAC Contractor Plumbing Contractor J
Electric Contractor
Fees: Valuatio� $4,500.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: (����J Date 11/04/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id# 1402400000
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 rstand the afore mention nforma `/
Signature ����i�p�,�,� �. Date �` (J
AgenUOwner
Address 741 W 17TH AVE OSHKOSH __WI 54902 - 6706 Telephone Number (920)426-2073
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 O1HKOlH
F�:(920)236-5084
ON THE WATER
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 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
1 vou are a contractor narticipatin� in the Permit fee Account Svstem and have adeauate funds check here
if vou want this nrocessed throuQh vour account I—I
JOB ADDRESS � � O % � � /,7 /� � S ��/�
OV�'NER )_(��� �J �'% �(J (.() �Y v
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CONTRACTOR � a �Q n /`"//�1 �
I am the: ❑ Owner OR ❑ Contractor
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family �ental ❑Commercial ❑Industrial
Work being done:
ROOFING
�Tear off and replace existing roofing on�house,❑garage -
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,�garage
This work is being done due to❑Hail Damage ❑Other :
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing �,�� .
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 Elect�ic Contractor)
AND ❑Electric Installation Verification form is attached OR ❑Sepazate 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)
/1 D � '
Value of the job $ ��0 V (include fair market price for labor even if you aze not paying for labor) 03/02