HomeMy WebLinkAbout0151814 - Building (roof) eK)I CITY OF OSHKOSH No 151814
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 559 W SOUTH PARK AVE
Owner CAROL A BROWN
Designer Create Date 08/20/2012
Contractor RB ROOFING&SIDING
Inspector Nicole Krahn
Category 041 -Residential Roofin•
Plan
Type • Building O Sign
0 Canopy Q Fence 0 Raze
Zoning R-2
Class of Const:
Size
Unfinished/Basement
Sq.Ft. Rooms Height Ft.
Finished/Living E] Projection
Sq.Ft. Bedrooms Stories
Garage Canopies
Sq.Ft. Baths
Signs
Foundation • Poured Concrete O Floating Slab O Pier
0 Other
0 Concrete Block O 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
Use/Nature SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE UPPER ROOF(DORMER ONLY), 1/2 SHINGLES AND 1/2 RUBBER
of Work ROOFING ALSO REPLACE SOME SOFFIT PIECES DUE TO WIND DAMAGE,NO STRUCTURAL CHANGES
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $3,50 00 Plan Approval $0.00 Permit Fee Paid
Issued By: $46.00 Park Dedication $0.00
Date 08/20/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1300660000
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 and stand the afore mentioned inf• ation.
Signature -
.` .I , Date 8 --G"2°-/Z
Agent/Owner
Address 741 W 17TH AVE OSHKOSH WI 54902 -6706 Telephone Number
(920)426-2073
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 of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax:(920)236-5084 0/HKO/H
Roofing & Siding Permit Application ON THE 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 are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account (1
JOB ADDRESS 5-1/ C7 h / 5 v q '%/7
x'0'9 t; �4-'"'
OWNER (_0 i Q 11.) �J
CONTRACTOR le‹? /t. /-7-," 1(
I am the: ❑ Owner OR contractor
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental
❑Commercial 0 Industrial
Work being done:
ROOFING
%fear off and replace existing roofing on house,❑garage Lt PP£/1 /Zdot-0,,L1�
❑Replace wood decking �" � �����/ S
6/L)2 Q ,C Ce4 >9/-9 ' -i12
❑Add I layer of roofing to the existing layer(s)on❑house,❑garage 'r/ I /2 A
This work is being done due to❑Hail Damage ❑Other S
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 El 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 C Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: H J Blocks previously installed. No outside lights. ❑Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note) .1C iL "7/1 it
,9atiw gro
��
Value of the job $ 3 5 d O v
(include fair market price for labor even if you are not paying for labor) 03/02