HomeMy WebLinkAbout2012-Building (roof/siding) CITY OF OSHKOSH No 151331
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1655 WOODSTOCK ST Owner KELLY K KAMINSKI Create Date 07/23/2012
Designer Contractor ARC CONTRACTING LLC
Inspector Nicole Krahn
Category * 141 -Exterior Remodeling Plan
Type • Building O Sign 0 Canopy 0 Fence 0 Raze
Zoning R-1 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 Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/TEAR OFF AND REPLACE EXISTING ROOFING AND REPLACE VINYL SIDING,GUTTERS&DOWNSPOUTS ON THE
of Work HOUSE ONLY, NO STRUCTURAL CHANGES **debit acct
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $11,000.00 Plan Approval $0.00 Permit Fee Paid $94.00 Park Dedication $0.00
Issued By: aYnli Date 07/23/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1332540000
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 1496 NORTH ST NEENAH WI 54956 - 1812 Telephone Number (920)886-7663
* 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.
120 12 05:14p ARC Contracting 920-886-1073 p.1
City of Oshkosh
Inspection Services Division
POBox 1130
0
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 o1HKOfH
ON THE'.VATFR
Roofing & Siding Permit Application
• Application(s) and fee(s) can be brought to City Hall,Roo n 205 or mailed to Inspection Services, PO Box 1128.
Oshkosh WI 54903-1128. Commencing work without pe-mit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fe'e Account System and have adequate funds, check here
if you want this processed through your account"RI
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JOB ADDRESS I, ( ✓6 Y uO 0,c h)Ck 5A-
OWNER l O { e V\ V1 t &IL-
CONTRACTOR W.Q W E ►bfr 6{- T c) OL u l i l a c
I am the: ❑Owner OR 6tnntractor
U$E CATEGORY
nglc Family El Duplex ❑ Multi-Family C Rental ❑ Commercial ❑Industrial
Work being done:
ROOFING ,��
ar off and replace existing roofing onlEl l se.❑garage
,t ,t �v Q N°
❑Add I layer of roofing to the existing layer(s)on❑ house, ❑garage
This work is being done due tofail Damage ❑Other
SIDING
_stall siding on house, ❑garage
/'[ ' eplacing vinyl w th vinyl
❑ Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
'Phis work is being done due to❑Hail Damage El Other
When siding is done, one of the boxes below m t be checked:
1) ❑Electric—Existing Electric Meter,receptacle,lighting and lectric Service entrance alterations/modifications are being perforated
by
(Name of Licensed Electric Contractor)
AND [I Electric Installation Verification form s attached OR .1 Separate Elect Permit will be requested.
2}' ric—Not Applicable because: 1 J Blocks previously in tatted. I I No outside lights. n Other
❑ Install new or place gutters
❑install new o place downspouts
Other related work being done: (please note)
Value of the job $ l `. 0DU C V
(include fair market price for labor even if you are not paying for labor) 03/02
Received Time Jul, 20. 2012 5: 14PM No. 0161