HomeMy WebLinkAbout0151706 - building (roof) CITY OF OSHKOSH No 151706
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2455 ARCADIAAVE Owner LAWRENCE A/CHERYL R HERZBERG _Create Date 08/15/2012
Designer Contractor SUN ROOFING
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building O Sign O Canopy 0 Fence O Raze 1
Zoning R-1 Class of Const: Size
Unfinished/Basement
Sq.Ft. Rooms Height Ft. ❑ Projection 1
Finished/Living Sq.Ft. Bedrooms _ Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation • Poured Concrete O Floating Slab 0 Pier O 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 D FR/TEAR OFF AND REPLACE EXISTING ROOFING,REPLACE ALUMINUM WITH VINYL SIDING, REPLACE GUTTERS AND
of Work DOWNSPOUTS ON THE HOUSE AND ATTACHED GARAGE,NO STRUCTURAL CHANGES **debit acct
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $14,000.00 Plan Approval $0.00 Permit Fee Paid $112.00 Park Dedication $0.00
Issued By: 3rn LO Date 08/15/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1312140000
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 4538 N FRENCH RD APPLETON WI 54913 - 8363 Telephone Number (920)954-5545
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.
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City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1 130
Phone: (920)236-5050 OIHKOIH
Fax: (920)236-5084 O1 THc 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$100.00 plus the
normal permit fee, which ever is greater_
OR
If you are a contractor participating in the Pertnit fie Account System and have adequate funds, check her
if you want this processed through your account v�
JOB ADDRESS J/55.- f//7'C-� e69.00/4
OWNER A-/1'eti f .c--Z-,e C.
CONTRACTOR kslfx/ gzFiA/t1-
I am the: ❑ Owner OR ]�Contractor
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
likrear off and replace existing roofing on(house,Vgarage
Cl Replace wood decking
Cl Add I layer of roofing to the existing layer(s)on❑house, ❑garage
This work is being done due to*Hail Damage ❑Other
SIDING
Install siding on 6il'housc, Birgaraee
❑ Replacing vinyl with vin'l
Replacing steel o 'ith vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due toKI-Iail Damage ❑Other
When siding is done, one of the boxes below must be checked:
1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND ❑Electric Installation Verification form is attached OR I Separate Elect Permit will be requested.
2) Electric—Not Applicable because: L I Blocks previously installed. ❑No outside lights.XOther .4-72-t ito
4304: N ) nrr1.7
❑Install new or/EC,Replace gutters 7-6 ,bt %! /-tZ-
❑Install new or$Replace downspouts
Other related work being done: (please note) /I/0
Value of the job $ G`442 (include fair market price for labor even if you are not paying for labor) 03/02
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