HomeMy WebLinkAbout0151679 - Building (roof) CITY OF OSHKOSH No 151679
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1620 CHATHAM DR Owner JEFFREY J JAROCKI/MICHELLE PHILBIN Create Date 08/14/2012
Designer Contractor XACT RESTORATION AND REMODELING
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building Q Sign Q Canopy Q Fence Q Raze
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection
Finished/Living Sq.Ft. Bedrooms Stones Canopies
Garage Sq.Ft. Baths Signs
Foundation • Poured Concrete Q Floating Slab Q Pier Q Other
Q 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 FR/TEAR OFF AND REPLACE EXISTING ROOFING AND REPLACE ALUMINUM WITH VINYL SIDING ON THE HOUSE AND
of Work TTACHED GARAGE, NO STRUCTURAL CHANGES **check#1135
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $16,500.00 Plan Approval $0.00 Permit Fee Paid $130.00 Park Dedication $0.00
Issued By: ,?A ink,..)ik,..) Date 08/14/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1318330000
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 per • -pplicati.n within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to se• re any n- -ssa --•provals bef• - -•••• uch activity.
I have read and under •• mentioned information. Q
Signature
/ Date 0 —/V
Agent/Owner
Address 1026 N MAIN ST OSHKOSH WI 54901 - 3838 Telephone Number (920)915-6798
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.
City Oshkosh
Inspection ion Services Division
P O Box 1130
Oshkosh,WI 54903-1130
Phone: (022)6-508450 OlHKOlH
Fax: (920)236-5084
ON THE 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 54903-1 128. Commencing work without permit(s) will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account El
JOB ADDRESS /('-Al( rOCACari Dr-
OWNER J Q 1 \\(fit t?,r
CONTRACTOR XC'C " V-0'� ;rCd\Q j/Th
I am the: ❑ Owner OR &Contractor
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
V.Tear off and replace existing roofing on Vthouse,Kgarage Cl �
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to 41-Tail Damage ❑Other
SIDING
,Install siding on 1`Slhouse, garage
❑Replacing vinyl with vinyl
Replacing steel or aluminum with vinyl(circle steel o IIIMMR11111
❑Replacing with
This work is being done due to XHail Damage ❑Other
When siding is done, one of the boxes below must be checked:
1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) LElectric—Not Applicable because: lj Blocks previously installed. ❑No outside lights. ❑Other
.'Install new or❑Replace gutters
J$Llnstall new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ AD/ �j c.%U (include fair market price for labor even if you are not paying for labor) 03/02