HomeMy WebLinkAbout2010-Building (roof) CITY OF OSHKOSH No 143297
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2950 RUSCHFIELD DR Owner BRUCE C /JONI R BAUM Create Date 09/24/2010
Designer Contractor HOME PRO ROOFING LLC
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 Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR / Tear off and replace roof on house and garage. *"`debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,243.00 Plan Approval $0.00 Permit Fee Paid $67.00 Park Dedication $0.00
Issued By: (1%1'3(.6 Date 09/24/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1340630000
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.
have read and understand the afore mentioned information.
Signature Date
Agent/Owner
Address W6783 CENTER VALLEY RD SHIOCTON WI 54170 - 8950 Telephone Number (920) 544 -7107
* 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/ publicatiions /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.
ty of Oshkosh
pection Services Division Z 5 6 Z'° N W d 9 0 6 010 2� Z d a s n u panic ° a d
I Box 1130
me: (920) 236-5050
(920) 236 -50&1
Roofing & Siding Permit Application
cGs, PO Box 1128,
Application(s)
s r mailed
fs being doubled or $100.00 plus the
and tae(s) can be brought to City Hall, Rooms' (; r maililed d result to Inspection ction Ser�►t
Oshkosh W'1 54903 -1128. Commencing work without p
normal permit fee, which ever is greater. oat - and, check ere
OR to an •ve ode
' ou are a c rrrract • r • • rt lei , atin - n the ' e mit ee Acaoun
• ou w,n t is •rocessed t r• our accou t
OA ADD1R)ESS
)wives r vG rjgv�
CONTRACTOR r OM_
rra fir n --
1 am the: 0 Owner OR )(Contractor
O CATEGORY ❑ Rental ❑ Co�ial
Q Industrial mme
`( S.ui Family ❑ Duplex 0 Multi- Family
Work being done:
ROOFING
O Gar off and replace existing roofing oe. / �
use,BBmbC
Cl Replace wood decking / l ayar ( s ) on ❑ house, 0 garage
O Add 1 Wm of roofing to the existing
This work is being done due to 0 Hail Damage 0 Other
SXDYNG
O Install siding on 0 house, 0 garage
❑ Replaciug vinyl with vinyl
0 Replacing steel or aluminum with vinyl (circle steel or aluminum)
O Rlacing with
This work is being done due to 0 Hail Damage 0 Other
When siding is done, one of the boxes below mast be checked: being performed 0 Electric — Existing Electric Meter, receptacle, lighting and Electric Service entrance alterationalmodificatio m
by
(mune o latIcows4 Elecbic Coulrusw) D Separate Elect Yelzait Will bc requested.
A. ❑ Electric Installation Verification form is attached 0,
2) 0 Electric —Not Applicable because: 0 I Blocks previously installed. 0 No outside lights. 0
Install new or 0 Replace gutters
a Install new or 0 Replace downspouts
Other /related work being done: (please note) r
are not pay for labor) 03/02
Value of the job $ f/ j � 3 . (include fair market price for labor oven if you
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