HomeMy WebLinkAbout0151680 - Building (roof) CITY OF OSHKOSH No 151680
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 712 W NEW YORK AVE —
Owner PETER L SMITH Create Date 08/14/2012
Designer
Contractor RB ROOFING&SIDING
Inspector John Zarate Plan
Category 041 -Residential Roofing
Type 0 Building 0 Sign O Canopy O Fence 0 Raze I
Zoning R-2
Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms
Height Ft. 111 Projection
Finished/Living Sq.Ft. Bedrooms
Stories Canopies
Signs
Garage Sq.Ft. Baths
Poured Concrete 0 Floating Slab O Pier 0 Other
Foundation g
0 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
of Work
Plumbing Contractor
HVAC Contractor
Electric Contractor
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $46.00 Park Dedication $0.00
Date 08/14/2012 Final/O.P. 00/00/0000
Issued By:D-11(-%\_\
11] Permit Voided Parcel Id# 1203510000
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. /2
I have read and und- �:d the afore mentioned information. -� Date ` J �l�
_ .e. i
Signature �.(4[ ��� � �
Agent/Owner
OSHKOSH WI 54902 - 6706 Telephone Number (920)426-2073
Address 741 W 17TH AVE —
pe of
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Nameer,T Phone
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your
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 of Oshkosh
Inspection Services Division ��
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 OlHKO/H
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 54903-1128. 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 [l
JOB ADDRESS 2 / € /)prK/
OWNER rf2 7 az 6 / '( l i ,9
CONTRACTOR .4 6 /(?O
I am the: ❑ Owner OR Contractor
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
[ear off and replace existing roofing onhouse,❑garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to❑Hail Damage ❑Other
SIDING
❑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 due to❑Hail 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) ❑Electric—Not Applicable because: 1 J Blocks previously installed. 1-No outside lights. 2 Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (j)lease note)
CC1
Value of the job $ Q 0 0 (include fair market price for labor even if you are not paying for labor) 03/02