HomeMy WebLinkAbout0159041-Building (roof) � CITY OF OSHKOSH No 159041
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1932 NEBRASKA ST Owner SHARON E SCHRAGE Create Date 11/25/2013
Designer Contractor SULLIVAN EXTERIORS LLC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze
2oning 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
0 Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Occupa�cy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR(late permit)/Tear off and replace existing roofing on house and garage. No structural changes. �
of Work
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $10,000.00 Plan Approval $0.00 Permit Fee Paid $200.00 Park Dedication $0.00
issued By: ��, Date 12/12/2013 Final/O.P. 00/00/0000
� Permit Voided�i Parcel Id# 1400800200
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 th' per it application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)an to s cure any ary approvals before starting such activity.
I have re a nderstan the ore mentioned information.
Signat e Date
AgenUOwner
Address 856 W 12TH AVE OSHKOSH __WI 54902 - 0000 Telephone Number (920)894-8984
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 54903-1 1 30
Phone:(920)236-5050 O.IHK01H
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
Ifyou are a contractor participatinQ in the Permit fee Account Svstem and have adeguate funds, check here
if vou want this processed throu�vour account n
JOB ADDRESS /L.�� /�/Q�b!'A S.LQ St
OV1'NER ��6tr'�Odl Jt�rd��_'
CONTRACTOR � (,�[/��(��X�ErltrfS�
I am the: ❑ Owner OR �Contractor
U�.E CATEGORY
,�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
�ar off and replace existing roofing on�]'fiouse�arage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑gazage
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 with
This wark 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 ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: G J Blocks previously installed. ❑No outside lights. ❑Other
.�J,nstall new or�Replace gutters
,�Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job� bDC � �� (include fair market price for labor even if you are not paying for labor) 03/02