HomeMy WebLinkAbout0145981-Building (roof) CITY OF OSHKOSH No 145981
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1333 HAZEL ST Owner MARK A FRAMNES Create Date 05/19/2011
Designer Contractor INTEGRITY CONSTRUCTION GROUP INC
Inspector John Zarate
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 HOUSE ONLY, NO STRUCTURAL CHANGES * *debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $46.00 Park Dedication $0.00
Issued By: 2)-mi. -/ Date 05/19/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1509120000
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 1351 KIMBERLY DR NEENAH WI 54956 - 1642 Telephone Number 232 -1669
* 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.
05/19/2011 13:29 9207274616
•
City of Oshkosh IEGRITY PAGE 01/01
.,,Nr�LtonS NT 920,- 2n6 -5 O?4
r_ 1
ifSpection Services Division
O Box 1
Oshkosh, WI
54903 -] 130
Phone: (920) 236 -5050
Fax: (920)236 0/I — KOJI - -
Roofing & Siding Permit Application ON THE WATER
• Application(s) and fcc(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO ]3ox 1 128,
Osltkos1i WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
1 ou • - a •ntractor •art'cira ins . the Pe Writ ee Account S stet and have ade•uare &nuts heck here
tau, _eszi this nroeessed through voyr account 'q
J 14 c 2e St-. • •
OWNERCP crlbraJ—u C
CONTRACTOR L41y4 f IS _ .% M
• 1 am the ❑ Owner OR Cir ontractor
USE CATEGORY
Qil(Sin Family ❑ Duplex ❑ Multi - Family 0 Rental
0 Commercial ❑industrial
Work being done;
ROOFING
%Tear off and replace existing roofing onpf hoilse, ❑ garage
❑ Replace wood decking
I:3 Add 1 layer of roofing to the existing layer(s) on ❑house, ❑garage
This work is being done due to ❑ Hail Damage 0 Other
SIDING
❑ Install siding on ❑ house, O garage .
0 Replacing vinyl with vinyl .
❑ Replacing steel or aluminum with vinyl (circle steel or aluminum)
❑ Replacing with
This work is being done due to ❑ Hail Damage ❑ Other
When siding i3 done, one of the boxes below must be checked:
1) ❑ Electric- Existing Electric Meter, receptacle, lighting and Electric Service entrance alterationsimodifications are being performed
by
(Name or Liecnsed Electric Contraetarl
AND ❑ Electric Installation Verification form is attached OBI 0 Separate Elect Permit will be requested,
2) ❑ Electric -. Not Applicable because: 0 J Blocks previously installed. ❑ No outside lights. 0 Other
❑ Install new or 0 Replace gutters
CI lnstoll new or ❑ Replace downspouts
Other related work being done: (pier= note)
Value of the job $ 1 10 r
• (include fair market price for labor even if you arc not paying for labor) 03/02
Received Time May. 19. 2011 1:11PM No. 5724