HomeMy WebLinkAbout0145384-Building (roof) (<.'D CITY OF OSHKOSH No 145384
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1363 MARICOPA DR Owner ALLAN D ECKSTEIN Create Date 04/07/2011
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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR / TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE, NO STRUCTURAL CHANGES
of Work **debit acct
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $12,986.00 Plan Approval $0.00 Permit Fee Paid $106.00 Park Dedication $0.00
Issued By: SLY.Yr Date 04/07/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1312490000
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 /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.
ti0Z5' °N Wd6l l IIOZ'� L adV awi pania°a�
.
na nsp y of Oshkosh pection Services Division �,�*
O Sox 1130 nt t
Jshkosh, WI 54903 -1130
Phone: (920) 236-5050 P ermit Application
on
Fax (920) 236 -6- 5084 R & Siding
Services, � Box 112S,
can be brought to City Hall, Room 205 or mailed to Inspection doubled or $100.00 plus the
• Application(s) s h k eation(s) and - 112 cin work w ithout pe ts) will result in fees being
Oshkosh N1111 54903 - 11 28 . Comm S dy c, eak � r
normal permit fee, which ever is greater_ e m a d •V e a , e, u a t
OR - i • - is A CO
' .0 ire • aitr•c o •ctrtici•atin.
r �i
i u w•n di , o else! th -
h pu accou r ►�
3 '
- -� � _.
70B ADDRESS 9 � � f �_- -- •.._....� ��
OWNER ��,� ) Gp - I_ __ ____--�-- -� ^�~-
OR
col�rxR�cr �(Cor,�tctor
O
1 am the: 13 Owner p Industrial
T ' CATEGORY 0 � p Multi-Family D Ronal 0 Commercial Family
Work being done:
ROOFING
lace existing roofing on houseys
aragc
V OW off and rep on 0 house, 0 garage
0 Replace wood decking layer(s)
0 Add 1 layer of roofing to the misting ----- �_ - "" r,
This work is being done dub to 0 Heil Damage 0 Other ___
SIDING
0 It old siding on 0 how 0 c
0 Replacing vinyl with vinyl
vinyl (clrclo meet ur aluminum)
❑ Replacing steel or --.. aluminum Vv with __-- - -�
1:1 Replactn6 Damage 0 Qty
This work is being dog awn to 0 Hall
is done, 0130 of the boxes below mast be checked. ratioanoQ� ions being performed 0 Electric tacle, lighting andL�lectric Service entrance alto
Existing' Electric ��' �p
1) 0 Electr►c - att. glGCt Permit will be requested. , U Sep
form ched
(N Roe p Weenie insulation Verification is txtta
ail 'cablo because: CI S Blocks pCeviously installed. 0 No outside lights. 0 Ober,
2) ❑ Electric -Not Apialt
o install new or 0 Replace downspou _
l Otherer. . related work being done: (please note) �.--
U � So labor) 0
� � (include fair market price for labor even if you are not paying
TO/ TO 39Cd OZId 31610H 6Z59L5L6Z6 b£�5t 900Z/Z£/T9