HomeMy WebLinkAbout0151472 - building (roof) CITY OF OSHKOSH No 151472
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2213 ALLERTON DR Owner GLENN KAMPMANN JR Create Date 08/02/2012
Designer Contractor ARC CONTRACTING OF WISCONSIN INC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building O Sign O Canopy O Fence O 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 O Floating Slab O Pier O Other
O Concrete Block 0 Post O 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 ONLY, NO STRUCTURAL CHANGES ""debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,500.00 Plan Approval _ $0.00 Permit Fee Paid $67.00 Park Dedication $0.00
Issued By: . LA_' Date 08/02/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1316850000
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
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.
g 01 12 02:04p ARC Contracting 920-886-1073 p.1
City of Oshkosh
0
Inspection Services Division
P 0 Box 1 130
Oshkosh,WI 54903-1130
Fax:( (920)236-5050 Of HK01H
Fax:(920)236 6-5 5084
Roofing & Siding Permit Application OhtTHF '.VATFR
• Application(s)and fee(s) can be brought to City Hall,Room 205 or mailed to inspection Services, PO Box 1128,
Oshkosh WI 54903-112g. Commencing work without pertnit(s) will result in fees being doubled or S100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participatinz in the Permit f Account System and have adequate funds, check here
if you want this processed through your account 'f
JOB ADDRESS 22_ l `. \ Yom, --,y\ 0—{--
OWNER ��ITJYl'3' `L-t'll `C la C L
` v�.,�i\Y�
CONTRACTOR 1 C CC � a_ �-� >
I am the: ❑ Owner OR l :tractor
ihSE CATEGORY
le Family C Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
Near off and replace existing roofing on house,CI garage
❑Replace wood decking / _
❑Add I layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due ayfilziail Damage ❑Other
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑RepIacing steel or aluminum with vinyl(circle steel or aluminum)
❑ Replacing with
This work is being done due to❑Nail 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 oFLicensed Electric Contractor)
AND .J Electric Installation Verification form is attached OR I Separate Elect Permit will be requested,
2) ❑Electric—Not Applicable because: -1 J Blocks previously installed. Ii No outside lights. I. Other
.l7-ktsta Keplace gutters -�
❑Install new v' --12ef$lece dosvrr,€v ewe—^ A-* d—n t. �1�
Other related work being done: (please note)
i- 7
Value of the job $ U LD (include fair market price for labor even if you are not paying for labor) 03f02
Received Time Aug. 1. 2012 2: 06PM No. 0278