HomeMy WebLinkAbout0151576 - building (roof and siding) CITY OF OSHKOSH No 151576
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1684 BERNHEIM ST Owner GARY/LAURIE JAHN Create Date 08/07/2012
Designer Contractor ARC CONTRACTING OF WISCONSIN INC Inspector Nicole Krahn
Category 041 Residential Roofing
Type • Building O Sign 0 Canopy 0 Fence 0 Raze
Zoning R-1 Class of Const: Size
Sq.Ft. Rooms Height Ft. ❑ Projection i
Unfinished/Basement
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 O Post 0 Treated Wood
Occupancy Permit _ Occupancy Fee _ _ $0.00 Flood Plain _ Height Permit
Park Dedication _ #Dwelling Units 0 #Structures _ 0
Use/Nature SFR\Tearing off and replacing roofing and siding
of Work
HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation _ $12,1.93.83 Plan Approval $0.00 Permit Fee Paid $106.00 Park Dedication $0.00
Issued By: 9 Date 08/07/2012 Final/O.P. 00/00/0000
E Permit Voided I Parcel Id# 1331960000
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.
Date
Signature
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.
Aug 0712 10:35a ARC Contracting 920-886-1073 P.3
City of Oshkosh
Inspection Services Division I
P O Box 1130
\`
Oshkosh, WI 54903 H30
Phone:(920)236-5050 Of—KO/—.
Fax: (920)236-5084 I\
Dh! ii-lc 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
JOB ADDRESS QC?) 1 1,rn l ( \
OWNER anal.�L' �
rV1
CONTRACTOR L `/ .'CL R
I ant the: ❑Owner OR ).Contractor
4E CATEGORY
nglc Family ❑ Duplex ❑ \Iulli-Family ❑ Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
car ofT and replace existing roofing on❑house, ❑garage
❑Replace wood decking
❑Add l layer of roofing to the c•fisting lever(s)on❑ house,❑garage
This work is being done due, lail Damage ❑Other
SIDING
stall 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❑Flail 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 Lieens d Electric Contractor)
I AND I Electric Installation Verification form is attached OR = Separate Elect Permit will be requested.
2)`�L lcetric—Not Applicable because locks previously installed. --1\0 outside lights. I Other
❑ install new o Replace gutters
El Install new or cplace downspouts
Other related work being done: (please note)
Q,2
l
Value of the job $ I `k 3. L. (include fair market price for labor even ifyou are not paying for labor) 03/02
Received Time Aug. 7. 2012 10: 33AM No. 0346