HomeMy WebLinkAbout0151564 - building (roof) CITY OF OSHKOSH No 151564
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1120 GREENFIELD TRL Owner BRYAN J/AMANDA J SCHULTZ Create Date 08/07/2012
Designer Contractor AMERICAN DREAM HOME IMPROVEMENT INC
Inspector Nicole Krahn
Category 041 -Residential Roofing _ Plan
Type 0 Building 0 Sign 0 Canopy 0 Fence 0 Raze
I
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. 0 Projection 1
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
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Re-roofing the house and garage,complete tear off.
of Work
HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $9,600.00 Plan Approval $0.00 Permit Fee Paid $88.00 Park Dedication $0.00
Issued By: \,1/1 - Date 08/07/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1314240000
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 appli.-tion within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure an/ecessary approvals before starting such activity.
I have read and nderst-/Jd..t�e afor nti• form ' .
Signature �J) 3,1 Date —15±/-7/3 � ;2-
Agent/Owne
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.
Aug. 3, 2012 4: 25PM No. 3956 -..P. 1
City of Oshkosh
Inspection Services Division
P 013ox 1130
Oshkosh, WI 54903-1130
Fax: 508450 OIHICAH
Fax:(920)236-5084
Roofing & Siding Permit Application �N THE WATEk
• 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 participatinz in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account ri
JOB ADDRESS //,2 D 4/ref'.C4/ 4r=2- -4-P f-S 1
OWNER 3,/,04/ s u.4 T z_--
CONTRACTOR S •�.•'.. 4'1 'L , -,��/A1 :i'1 i .,-rJj
I am the: ❑Owner OR X Contractor
IJSE CATEGORY
XSingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
Tear off and replace existing roofing on%house,,garage
0 Replace wood decking
❑Add I layer of roofing to the existing layer(s)on 0 house,❑garage
This work is being done due to 0 Hail Damage ❑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 duc to❑Hail Damage 0 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 n Electric Installation Verification form is attached OR !7I Separate Blect Permit will he requested.
2) 0 Electric-Not Applicable because: I!J Blocks previously installed. ❑No outside lights. 0 Other
❑ Install new or 0 Replace gutters
❑Install new or 0 Replace downspouts
Other related work being close: (please note)
R e c e i v e d T i m e t;A u g.4 3,12 012 4: 15 P M No. 0 3 2 2.t fair market pnrc for labor even if you are not paying for labor) 03/02