HomeMy WebLinkAbout0151428 - Building (roof) CITY OF OSHKOSH No 151428
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1203 WHEATFIELD WAY Owner TODD A/LAURIE M MOLLENHAUER Create Date 07/30/2012
Designer Contractor AMERICAN DREAM HOME IMPROVEMENT INC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building O Sign 0 Canopy O Fence O Raze
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection 1
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 0 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, INSTALL NEW GUTTERS AND 1
of Work DOWNSPOUTS, NO STRUCTURAL CHANGES. VENTING WILL MEET MINIMUM REQUIREMENTS.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $12,100 Plan Approval $0.00 Permit Fee Paid $106.00 Park Dedication $0.00
Issued By: _ — Date 07/30/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1340040000
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 under a of mentione of rmatio
Signature � "' Date
Agent/Owner
Address 150 S SUNNY SLOPE RD BROOKFIELD WI 53005 - 5714 Telephone Number (262)797-0900 EXT
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.
Jul, 26. 2012 2 : 34PM No. 3933" ,P. 5
L.lty or vsnxosn
Inspection Services Division
-111\•••-k)i;
PO Box 1130
Oshkosh, WI 54903-1130
Phone:(920)236-5050
lax: (920)236-5084 H HE wArea
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
1 ou are a contractor .artici atin? in the Permit ee Account S stem and have adequate funds; check here
if you want this processed through your account
JOB ADDRESS /„I__, I ' ø ) 4/1/ -- .--
OWNER 761z/7 A ' e-,-✓A -LA. r- ic-
CONTRACTOR ii A.: i:. ./ .• ,,y,aeS . tZ l. 59,1"f 7
I am the: in Owner OR Contractor
USE CATEGORY
g Single Family ❑ Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
❑Tear off and replace existing roofing oriplf house,)(garage
❑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 El Other
SWING
❑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 El Hail Damage ❑ Other,
When siding is done, one of the boxes below must be checked:
I) ❑Electric—Existing electric Meter,receptacle,lighting and electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Conlraclkr)
AND (2 Electric Installation Verification form is attached OR ;.._Separate Elect Permit will he requested.
2) I Electric—Not Applicable because: J Blocks previously installed. =No outside lights- Lt Other.
Install new or❑Replace gutters
Install new or❑Replace downspouts
Other related work being done: (please note)
v,.i..n nt the ;nil v; `C /er/% /+nrl'rrfe fair market price for labor even if you arc not paying for labor) 03/02 CO
Received Time Jul. 26. -2012- 2: 22PV-No. 0220. VOV.