HomeMy WebLinkAbout0143413-Building (roof) CITY OF OSHKOSH No 143413
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3250 MEDALIST DR Owner ARDON LLC Create Date 10/04/2010
Designer Contractor NORTHERN METAL & ROOFING, INC.
Category * 141 - Exterior Remodeling Plan
Type • Building O Sign 0 Canopy 0 Fence O 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 O Floating Slab O Pier O Other
0 Concrete Block O Post O Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature COMM / Re -roof lower roof area *vacuum & dispose of pea gravel ballast, mechanically attach 1.5" polyiso roof insulation, 60 mil EPOM
of Work membrane roof, and new sheet metal edge.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $45,750.00 Plan Approval $0.00 Permit Fee Paid $226.00 Park Dedication $0.00
Issued By: Date 10/04/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1413630100
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 w' hin an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure al ne ss a rovals before starting such activity.
have read an un er r l.. th fo m tioned information.
Si g na tu r e Date 10/1/ /a
Agent/Owner
Address 155 W PROGRESS DR WEST BEND WI 53095 - 0000 Telephone Number (262) 334 -0414
* 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
P O Box 1130 1
Oshkosh, WI 54903 -1130 ' /� �( O�
Phone: (920) 236-5050
Fax:(920)236 -5084 (`� I A \
Building Permit Application ON THE WATER
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
kfr i u' swift d[ flturrmujlta will?' diccamatt Pi
JOB ADDRESS 3 2 S - , C . 04. c v 4 , 4.3 t. S4'te.Z
OWNER ��4epc. 1J� \ti S.i
CONTRACTOR 407...3 4x t -;.oc C . t&3t_. - - t> - C ;t1/41 1Sic#4
I am the: ❑ Owner OR ® Contractor
USE CATEGORY
❑ Single Family ❑Duplex ❑Multi - Family ❑Rental P ■ Commercial ❑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
XOther CoRVm41-1: t4, RAF Re —Govc-a_
For External Remodeling, Wrecking Permit, and Internal Remodeling please see Chapter NR 447 of the Wisconsin Administrative Code and
Notification Form 4500 -113 on the DNR Asbestos Program website; http: / /dnr.wi.aov /air /compenf /asbestos /.
For additional information on hazards present in buildings see the Pre - Demolition Environmental Checklist at
http:// dnr. wi. bovtorbt awNimlrwb lications/anewoubtWA651.pdf.
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 (420.10.- � done: A--r Low Rxt= AR -QA ( y,c1 q 5% Fl
%42-4&A:Lr Pct 4 1 L. S cbtx t l o F w 41/4i n cJ (o , lrt,m 11/14401 ) 1
lJ e r 4L 4t cots&
Anv work not included in this application is not Pcsasitted-
Value of the job $ 45, - 1 50 = (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: M 114,E DL7El42Ki(
-�/ n ( (Pl se print)
Signature: I14 .1, - l
ic1 jr�
09/16/2010 11:50 FAX 920 235 1635 BADGER MILL SUPPLY CORP e1001
NORTHERN
METAL & ROOFING
COMPANY, INC.
West T end Nvi sion
Submitted To: Dumke Management, Inc. Project-. Badger Mill Supply
Attn: Mr. Bob Walter Lower Roof Re -Cover
Street, 222 Ohio SL Project Location: Oshlmsh, WI.
City & State: Oshkosh, WI. 54902
THIS PROPOSAL made this 12 th day of August _ ,20 10 ,
by Northern Metal & Roofing Co., Inc. - West Bend Division
(hereinafter called ° Contractor") to pumice _
Management Group, Inc. (hereinafter Called "Owner(s) "/Representative).
Upon acceptance of this Proposal, the Contractor agrees to furnish all material and labor necessary
to complete work as described below, for the net Contract price of: $45.750.00
Forty Five Seven Hundred end F Dollars
Section 075300: EPDM Fully Adhered Roofing
Time and Material for unseen Conditions: Labor @ 962,50/hr Material @ 10%
At Lower Raof Area Only: (14,945 SF)
Remove all pea gravel stone ballast (Vacuum) end dispose from site
Remove gravel stop roof edge from outside perimeter
Install 1 layer 2X wood nailer
Mechanically attach thru existing roof and steel deck 1.5" 'so Roof Insulation
(Existing R -value =12, adding R of 9, for a total R -Value of 21)
Fully adhered a 60 mil EPDM BLACK rubber membrane Firastone foofmg system
Properly flash all units, drains. and thru roof penetratlene
Remove unused pipe penetrations that supported old sign (6 ea.)
Install new decking at these locations
Install new 4 x 4 sleepers at a/c units
24 ga kynar prefinished gravel stop roof edge (Owner to select from standard colors)
Notes; Crane use will be registered with Wittman Field Flight Plan
Electrician may be required to repair conduit Installed tight to under side of metal deck
Warranty Options: Firestone 10 year Total System Warranty INCLUDED
Snow removal is not included In this bid.
Wisconsin Contractor License 01095902
We hereby accept this proposal, Northern Metal & Roofing Company, Inc.
# doe veelew west Bend Divlsi n j_
c1%1w
By: Sy: 71Ief
uce u nnng
Title: Co, su /7"Q�� Title: Estimator f
ALL TERMS AND CONDITIONS PRINTED ON THE BACK OF THIS PROPOSAL ARE HEREBY
INCORPORATED WITHIN THIS PROPOSAL AS FULLY AS IF PRINTED AND/OR WRITTEN ON THE
FRONT, AND THE PARTIES ACKNOWLEDGE THAT THEY HAVE READ ALL OF THE PROVISIONS OF THIS
PROPOSAL, BOTH FRONT AND BACK.
155 W. Progress Drive, Weil Bend, Wisconsin 53095
Telephone 12621 334.0814 • Fax (2621 334 -9530