HomeMy WebLinkAbout0158854-Building (roof, siding & repair chimney) � CITY OF OSHKOSH No 158854
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 716 CENTRAL ST Owner CLAIR HASSELL_ __ Create Date 11/20/2013
Designer Contractor L&L CONSTRUCTION
Inspector Andrew Prickett
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze
2oning R-2PD 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
0 Concrete Block 0 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 small damaged area of house due to tree damage on roof. Replacing vinyl siding on house
of Work in damaged area due to tree damage. Electric not applicable due to damaged areas not being near electrical fixtures. Masonry repairs I
�o damaged chimney. No structural changes.
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HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: Date 11/20/2013 Final/O.P. 00/00/0000
❑ Permit Voided! Parcel Id# 1004610000
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 unde and the afore tioned information.
Signature p���p,L Date
AgenUOwner
Address 187 GRUENWALD AVE NEENAH WI 54956 - 0000 Telephone Number 920-722-8837
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 ��u
Faac:(920)236-5084 O HK I I
ON THF WATFR -
Roofing � Siding Permi# 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$100.00�lus the
normal permit fee,which ever is greater.
OR
If vou are a contractor narticipating in the Permit fee Account Svstem and have adeguate funds check here :
if vou want this Drocessed throuQh vour account �
JOB ADDRESS ��1p �C/U I/�f� L .s�T DSfff�o��'1'
ow�R e L��� t�A��S'�CL
co�v�r�►cTOR Ld L t���u sT�u�ri or✓
I am the: ❑ Owner OR l�Contractor
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family �(Rental ❑Commercial O Industrial
Work being done:
ROOFING
�J(Teaz off and replace existing roofmg on�house,❑garage R Ef'L/�N E S'/�7�i L L- .�f1���E�� y���
�Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on O house,�garage
This work is being done due to O Hai1 Damage i,�Other TiQ�C l���9f�►Co C D !-t�7 E!,S'�'r 1`e���
SIDING
❑Install siding on ❑house, ❑garage
�Replacing vinyl with vinyl t�/V L`,' ,UAMi1G�6 D A�C�,4
�Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to❑Hail Damage [�'Other %2�G1 D,4itilk(�E� ,t/-l�il�d �c fX9l�
When siding is done,one of t6e boxes below must be checked:
1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entra�ce alterations/modifications are being perFormed
by
(Name of Licensed Electric Contractor)
AND ❑Electric Installation Verification form is attached OR C Separate Elec[Permit will be requested.
2) [�,Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights.�Other�0�/l?�f)�E..' (=LCC7iE'/C�if L
❑Install new or❑Replace gutters
�Install new or❑Replace downspouts
soMC
Other related work being done: (piease notej C°yiM�v�y o,�MA�c, �%' iC�F �',�}l�i�r.�
Re�,��r M�S��v�e y'
Value of the job$ � O Up,(�Q (include fair marlcet price for labor even if you are not paying for labor) 03i02
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