HomeMy WebLinkAbout0151686 - Building (roof) g) CITY OF OSHKOSH No 151686
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1113 S WESTFIELD ST Owner CAROL A HUBBARD Create Date 08/13/2012
Designer _ Contractor AMERICAN DREAM HOME IMPROVEMENT 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 0 Pier 0 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 AND INSTALL NEW GUTTERS AND DOWNSPOUTS ON THE HOUSE AND
of Work DETACHED GARAGE,NO STRUCTURAL CHANGES
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation (� $7,730.00 Plan Approval $0.00 Permit Fee Paid $74.00 Park Dedication $0.00
Issued By:(Y1 Date 08/14/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1309250000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure a necessary approvals before starting such activity.
I have read and under d the a re mentione • ormation.
Signature „c. () Date C$-/y J /
A nt/Owner
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.
E0ti0 '°N ZOZ '2nd- 1i1 paniCitynfnshkVsti "it\
aaad
inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084 Of JH
Roofing & Siding Permit Application ° r" WATFR
• 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 area contractor narticipatin� in the Permit fee Account System and have adecruute funds check here
if you want this processed through your account n
JOB ADDRESS /1/,5 J, 77 J
OWNER 6//fe3Z— ![ 6/8 ni9iet
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CONTRACTOR °47 �.,''AT/.f--os'7
I am the: ❑ Owner OR Contractor
USE CATEGORY
jii Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
Wear of,and replace existing roofing on ilhouse,Ydgarage
❑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 C l 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 Q,l ❑Separate Elect Permit will be requested.
2) El Electric—Not Applicable because: Li J Blocks previously installed. ❑No outside lights. 0 Other
;Winston new or❑Replace gutters
Install new or❑Replace downspouts
Other related work being done: (please note) -
Value 8 die 1CZ 8 6 E '°N (include fair market once for labor even if vnu are not nav*d L ;ti M6 Q 2 n V