HomeMy WebLinkAbout0158803-Building (roof) � CITY OF OSHKOSH No 158803
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
JobAddress 613 E NEW YORKAVE Owner KATHLEEN B MARSH Create Date 11/19/2013
Designer Contractor KOWALSKE ROOFING
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building _ � Sign � Canopy � Fence _ � Raze ___J
Zoning R-1 _ Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection �,
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garege 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/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE ONLY-NO STRUCTURAL CHANGES **check#5072 �
of Work
�
I II
� _ _
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuat�n , $3,600.00 Plan Approval ______ $0.00 Permit Fee Paid $58.00 Park Dedication _ $0.00
Issued By: ��� Date 11/19/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1108710000
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��tan,/d the fore mentioned information. l
Signature „�..�l �� Date jl /�g
AgenUOwner
Address 1320 COLUMBIAAVE OSHKOSH WI 54901 - 2139 Telephone Number 920-233-4695
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 HK01H
F�:(920)236-5084 �
Roofing & Siding Permit Application oN THE WATER
• 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
I�you are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here
if vou want this processed through vour account n
JOB ADDRESS �/�3 �vyU� �/
O�i'NER�A�� I�
CONTRACTOR�(����5�,� 1�S{'/�//t/G�-
I am the: ❑ Owner OR `� {Contractor
�E CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Coctunercial ❑Industrial
Work being done:
ROOFING :
❑Teaz of�and replace existing roofing on�house,❑garage
❑Replace�vood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This wark 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 with .
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 Elecuic 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)
_�.
Value of the job $ ��(OL� i (include fair market price for labor even if you are not paying for labor) 03/02 '
1/ �50��..