HomeMy WebLinkAbout0151839 - Building (roof) g) CITY OF OSHKOSH No 151839
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1835 ARLINGTON DR Owner JAMES S/DIANE M KOERNER Create Date 08/21/2012
Designer Contractor FOX VALLEY ROOFING&SIDING
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building O Sign O Canopy O Fence O Raze 1
Zoning R-1 Class of Const: Size
El Ft. Projection]
Unfinished/Basement Sq.Ft. Rooms Height
Finished/Living Sq.Ft. Bedrooms Stones Canopies
Garage Sq.Ft. Baths Signs
Foundation • Poured Concrete ❑ Floating Slab ❑ Pier ❑ Other
❑ Concrete Block ❑ 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 SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE ALSO REPAIR SIDING,NO
of Work STRUCTURAL CHANGES **debit acct
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $16,916.00 Plan Approval $0.00 Permit Fee Paid $130.00 Park Dedication $0.00
Issued By: nU-) Date 08/21/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1315450000
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 PO BOX 137 MENASHA WI 54952 - 0137 Telephone Number (920)730-3033
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
Osl kosh,WI 54903-1130
Phone:(920)236-5050 M�(0�� -f
Fax: (920)236-5084 Of u
Roofing & Siding Permit Application ON TNF 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
I ou • • • ►n.ra t•r .artici.atin: in the Permit ee c o stem and have ade• ate unds check h•re
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WO t this •rocessed throu!h our a aunt •
JOB ADDRESS l A C 115 `I1 r 05/1/40-5.
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OWNER "Pt Il o'e
CONTRACTOR ei /icy r art _ --pm/
I am the: 0 Owner OR Contractor
USy,CATEGORY
Ingle Family ❑Duplex 0 Multi-Family ❑Rental ❑Commercial 0 Industrial
Work being done:
ROOFING
.Z Tear off and replace existing roofing on.OTiouse,Jarage
❑Replace wood decking
O Add I layer of roofing to the existing layer(s)on❑house,0 garage
This work is being done due to❑Hail Damage 0 Other _
SIDING
❑Install siding on 0 house, ❑garage
❑Replacing vinyl with vinyl
E l Replacing steel or aluminum with vinyl(circle steel or aluminum)
O Replacing with
This work is being done due to 0 Hail Damage ❑Other / '
When siding is done,one of the boxes below must be checked:
1) 0 Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND 0 Electric Installation Verification form is attached OR 0 Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: 0 J Blocks previously installed. 0 No outside lights. Cl Other
❑Install new or❑Replace gutters
❑Install new or 0 Replace downspouts
Other related work being done: (please note)
Value of the jo / / a (include fair market price for labor even if you are not paying for labor) 0310'
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