HomeMy WebLinkAbout0151413 - Building (roof) CITY OF OSHKOSH No 151413
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 934 GRAND ST Owner JAMES W/CHERYL LAFONTAINE Create Date 07/30/2012
Designer Contractor INSIDE OUT CONSTRUCTION
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type • Building 0 Sign O Canopy 0 Fence O Raze
Zoning R-2 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 O Other
O Concrete Block 0 Post U Treated Wood
Occupancy Permit Not Required Occupancy Fee _ $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND DETACHED GARAGE, NO STRUCTURAL CHANGES
of Work ""check#1223
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,825.00 Plan Approval $0.00 Permit Fee Paid $67.00 Park Dedication $0.00
Issued By:( Date 07/30/2012 Final/O.P. 00/00/0000
`\ ❑ Permit Voided I Parcel Id# 1003730000
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 understaud the aforr menti d information. /
Signature -'% Date
Agent/Owner
Address 5833 KOELPIN RD OSHKOSH WI 54902 - 5879 Telephone Number 920-426-9562
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
POBox 1130
Oshkosh,WI 54903-1130
Phone: (920)236-5050 OfHKO/H
Fax: (920)236-5084 I Ifs I
ON THE WATER
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 permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account n
JOB ADDRESS 09-3:,747/7/
OWNER �4 'r6 -✓T4/f1Al
CONTRACTOR /$ ,;F L(�� GGv�- 5 t%u6.-'71J/U
I am the: ❑ Owner OR , contractor
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING �1
‘EPTear off and replace existing roofing on Miot3se, rage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to❑Hail Damage aOther
SIDING
❑ Install siding on ❑house, ❑garage
❑ 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 is done, one of the boxes below must be checked:
1) ❑Electric—Existing Electric Meter,receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND E Electric Installation Verification form is attached OR C Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: L I J Blocks previously installed. U No outside lights. U Other
❑ Install new or❑Replace gutters
❑ Install new or❑ Replace downspouts
Other related work being done: (please note)
� 5 i�
Value of the job $ �G `' (include fair market price for labor even if you are not paying for labor) 03/02
v4/ 1aa3