HomeMy WebLinkAbout0152009-Building (roof) i
� CITY OF OSHKOSH No 152009 �
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�SHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
JobAddress 920 KNAPP ST Owner DONALD UMARYANN SIEGER LIFE ESTATE Create Date 08/28/2012
Designer Contractor HICKEY ROOFING
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
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Type � Building � Sign � Canopy 0 Fence � Raze I
Zoning R-2 Class of Const: Size
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Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete 0 Floating Slab � Pier 0 Other
0 Concrete Block Q 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 FR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE NORTH 1/2 OF THE HOUSE AND THE SOUTH 1/2 OF THE
of Work ARAGE ONLY,NO STRUCTURAL CHANGES "debit acct
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,041.00 Plan Approval $0.00 Permit Fee Paid $53.00 Park Dedication $0.00
Issued By: ��� Date 08/28/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1305980000
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 understand the afore mentioned information.
Signature Date
AgenUOwner
Address 1427 BROAD ST OSHKOSH WI 54901 - 3047 Telephone Number (920)426-4008
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.
g 28 12 01:24p HICKEY ROOFING 9202320354 p.1
City of Oshkosh
(nspection Services Division
P O Box 1]30 �
Oshkosh,WI 54903-1 1 30 �
Phone:(920)236-50�0
Fax:(920)236-5084 O1HK0 H
Roofing & Siding Permit Application VN Fy� ���'�Fk
• Applica#ion(s}and fee(s)can be brought to City Hall,Room 205 or mailed to Inspecrion Services,PO Box 1 128,
Oshkosh W[ 54903-112g. Commencing work without permit(s)wil] result in fees being doubled or$104_00 pl�s the
normal permit fee, which ever is greater,
OR
1 ote nre a contraclor ortici atin irr the Permit ee Account S siem artd have ade uate :�nds check here
r ou want Ihis roces.sed throu h. our account
.fOB ADDRESS `��'U )�f'L P �
o«�Ex � �1 f�
CONTR4CTOR G{ / '
I am tE�e: ❑Owner OR G� Contractor
�SE CATEGORY
Single Family O D�eplex ❑I�9�lti-Family ❑Rental �Commemial ❑Industrial
work being done:
ROOFII�G
�'!'ear off and replace existing roofing o�house.� ara e �� ,�� � G � �
B � ��,,��� I� G-� �t(,r(ti�
❑Replace wood decking V-
❑Add 1 layer of roofing to the existmg layer(s)on❑house,p garag�
This work is being done due lo�Hail Damage CJ Other
SIDING
❑Instatl siding on ❑house, ❑garage
D Replacing rinyl��ith vinyE
❑Replacing steel or aluminum with viny](circle steel or alurrtinum)
❑Rep[acing 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) ❑Electnc—Existing Electrie Meter,receptacle, lighting artd Electric Scrvice en�anee aiteratioru/modifieations are be�ng perfor�d
by
(Yama of Li.ens:d EI cctric Coatraqor)
AND _ Electric[nstallation Verification form is attached OR -:Separate E(ect Permit will be requested.
2) ❑Glectric—Not Applicable becausz: i ;J Blocks previously ins-talled. :J No outside lights. !.:Other
❑Install new or�Replace guttcrs
❑ fosral]new or O Replace downspouts
Other related work being done: (please note)
Value of the job�� U 7 � � Gv (include fair market price for labor e��en if '011 272 RoL
> pay�ng for(abor) 03102
Received Time Aug, 28. 2012 1 : 19PM No. 0639