HomeMy WebLinkAbout2010-Building (roof) CITY OF OSHKOSH No 143497
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1713 ROOSEVELT AVE Owner STEVEN J PASCO /EDITH BUSKIRK 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 garage. * *debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,646.00 Plan Approval $0.00 Permit Fee Paid $67.00 Park Dedication $0.00
Issued By: / Date 10/07/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1213000000
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.
City of Oshkosh 8ti18 ' °N WdZZ Z OIOl 9 ��p atoll pan aD
inspection Services Division
POBox 1130
9iliot WI M9034130
Phone: (920) 236 -5050
Fax: (920) 236 -5084
°U‘
Roofing & Siding Permit Application
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 -1128. Commencing work without permits) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
ou are a contractor . artier atin: in t e Permit ' e c o nt S st m and have a, e f uate and check here
i ou wan this pro es ed thro :h our account
JOB ADDRESS
/7/ Acoe e ve
matt 5t eve.. 954 o — -
CONTRACTOR /ire Pia ' ' n•
1 am the ❑ Owner OR Contractor
U ' CATEGORY 0 metal 0 Commercial 0 Industrial
,(Single Family 0 Duplex ❑ Multi- Family
/ Work being done:
ROOFING
3 Lhear off and replace existing roofing on g housearagC
0 Replace wood decking
0 Add 1 layer of roofing to the existing _ layer(s) on 0 house, 0 garage
This work is being done due to 0 Hail Damage 0 Other
SIDING
0 Install siding on 0 house, 0 gage
Replacing vinyl with vinyl
0 Replacing steel or aluminum with vinyl (circle steel or aluminum)
CI Replacing , with -----
This work is being done due to O Hail 'Damage 0 Other
When siding is done, one of the boxes below must be checked:
1) 0 Electric — Existing Electric Meter, receptacle, lighting and Electric Service entrance alterationslenodifioations are being performed
by
Name of Licensed rasado Conevitor) Elect Permit will be requested.
AND Electric Installation Verification form is attached M 0 Separate
2) 0 Electric —Not Applicable because: d I Flocks previously installed. 0 No outside lights. 0 Ma—
t) Install new or 0 Replace gutters
O Install new or 0 Replace downspouts
Other related work being done: (please note)
Value of the job $ V / t; VC (include fair market price for labor even if you arc not paying for labor) 03/02
50/50 3 Dt'd Odd OWOH 6Z99LSLOZ6 1717 :6T 900Z/90/80