HomeMy WebLinkAbout0142388-Building (roof) CITY OF OSHKOSH No 142388
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 520 W 15TH AVE Owner DAUN BOCK LLC Create Date 08/02/2010
Designer Contractor R J ALBRIGHT INC.
Category * 141 - Exterior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning 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 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature COMM/ Re- roofing the building. Removing the roofing to the metal deck, installing one layer of 1/2" gypsum, installing 2 layers of
of Work ployisocyranurate board insulation, 1 1/2" layer of secure -rock, and installing a .060 mil rubber membrane per the proposal submitted.
The existing stone roof was heavier than the roof that will be put on now per the contractor.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $20,900.00 Plan Approval $0.00 Permit Fee Paid $151.00 Park Dedication $0.00
Issued By: i Date 08/04/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1301070000
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 an• nd the i i ore I ' e • gig ation.
Signature , `I�'t V.Airi � Date
t314
1 . ent/Owner
Address 5711 GREEN VALLEY RD OSHKOSH WI 54904 - 9700 Telephone Number 231 -8635
* 141 - Exterior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500 -113 on the DNR
Asbestos Program website; http: / /dnr.wi.gov /air /compenf /asbestos /. For additional information on hazards present in buildings see
the Pre - Demolition Environmental Checklist at http: / /dnr.wi.gov /org /aw /wm /publications /anewpub /WA651.pdf
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
PO Box 1
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 OfHKOJH
Building Permit Application ON THE WATER
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account n
JOB ADDRESS /.5 c_51 � 5�+ GO/ J Pt'7
OWNE R___ I .,
CONTRACTOR 2 - 7.. i c .
I am the: ❑ Owner OR Contractor
USE CATEGORY
El Single Family ❑Duplex ❑Multi - Family ❑Rental L ommercial ❑Industrial
Work being done:
❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking
❑ External Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structure
❑ Handicap Ramp ❑ Hot Tub /Spa ❑ Internal Remodeling
❑ Sign/Canopy /Awning ❑ Stair/Handrail ❑ Stove/Fireplace
❑ Swimming Pool ❑ Wrecking Permit
k Other �
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
• Full description of work being done: 7Z- cS
Any work not included in this application is not permitted.
Value of the job $ ' ?CO (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Name: /`
Pl a print)
Signature:
Date: 7/277/
3/02
Proposal jraar gam, t -
Central Wisconsin Roofing, Inc. /alt ,&G
5006 N. Sunset Street /g14./49/4
Schofield, WI 54476 S ,
Phone (715) 359 -6291
PROPOSAL SUBMITTED TO R.J. Albright INC PHONE 1 920 - 236 - 8535 I DATE 7 - -
STREET 5711 Green Vally RD JOB NAME Dee Photo
CITY, STATE AND ZIP CODE Oshkosh, WI . JOB LOCATION 520 15th St, Oshkosh, WI.
ARCHITECT I DATE OF PLANS I JOB PHONE
We hereby submk specifications and estimates fon
Lower roof level.
Remove all existing roof system down to metal deck.
cceplace with one -layer of inch gysum board.
over gypsum board install 2- layers of Ployisocyanurate board insulation.
Over Ployisocyanurate board , lay inch layer of Secure -rock.
Fasten all layers to deck 16 fastener per 4 x 8 sheet or ever 2 Sq Ft.
Fu11y Adhered .060 mil Rubber membrane F.P.D.M. Rubber.
Install metal edt a flashing.
Provide 10 YR. Labor & 30 YR. Membrane Warranty. y.-°
Afr, 0 7 ‘ -e kAtb
:5 , 0 9
If payment not received in MI within 10 days. 1 1/2% per month, 18% annual, service charge will be made.
We Propose hereby to furnish material and labor — complete in accordance with above specifications, for the sum of:
Twenty- Thousand & Nine- Hundred & no/100
Payment to be made as follows: ctoll$Ps ($ )
30% due upon accepting proposal. Balance in full upon completion.
All material Is guaranteed to be as specified. An work to be competed in a President/Owner David Kitsemble
workmanlike manner according to standard practioes. Any alteration or Authorized a r.i z io d e z a...
deviation from the above specifications involving extra costs wal be executed Signature
only upon written orders, and will become an extra charge over and above
the estimate. All agreements contingent upon etrlkee, accidents or delays Note:
beyond our control. owner to carry fire. tornado and other necessary This proposal may be withdrawn
insurance. Our workers are fully covered by Workmen's Compensation by us if not accepted within
Insurance. days.
Acceptance of Proposal — The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are Signature
authorized to do the work as specified. Payment will be made as
outlined above.
Date of Acceptance Signature