HomeMy WebLinkAbout0143493-Building (roof) CITY OF OSHKOSH No 143493
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1311 MARICOPA DR Owner KEITH E VOELKER Create Date 10/07/2010
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 attached garage. **debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $10,049.00 Plan Approval $0.00 Permit Fee Paid $94.00 Park Dedication $0.00
Issued By: Date 10/07/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1312570000
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
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 /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.
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ity of Oshkosh •
S lion Services Division
0 Box 1110 �� .r��7)�
thkosh, WI 54903 -1130 07
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ions: (920) 236 -5050 catlort
(920) 236.5084 Rootiing & Siding Permit App " I�
Inspection Services, PO Box 1128,
brought to City Hall, boom 205 or mailed to doubled or $100.04 plus the
1 Application(a) onI 54903 8c Commencing work without permit(s) will result in fees being Oshkosh WI
normal permit fee, which ever is greater.
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OWNER ! � Pro (xi �i 'n
CONTRACTOR
I am the: Cl Owner OR ,(Contractor
❑ Rental Q Commercial industrial
U CATEGORY Q Duplex QMulti - Family
Single Family
Work being done:
ROOFING
3e ear off and replace existing roofing on *house, 01. garage
D Replace wood decking
0 Add 1 layer of roofing layer(s) on 0 house, 0 garage
fing to the existing -- ""�"� " °`~
This work is being dog due to Q Hail Damage 0 Other
SIDING
• 0 Install siding on 0 house, 0 gage
o Replacing vinyl with vinyl
Q Replacing steel or aluminum with vinyl (circle steel or aluminum)
with
❑ Relacing Other
This w work is being done due to 0 Hail Damage
b
one of the boxes below must be checked:
When siding is done,
1) 0 Electric — Existing
Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by C1 5ep'% Elect Permit will be requested. ofLimo:4i 8lotrio Contractor
AM p Electric Installation Verification form is attached
2) 0 Electric —Net Appli because: 0 3 Blocks previously installed 0 No outside lights. 0 Other,_
Install new or ❑ Replace gutters
o Install new or 0 Replace downspoutS
Other related work being done: (please note)
for labor) 03/0?
Q y (include fair market price for labor even if you are not paying
Value of the lob
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