HomeMy WebLinkAbout0151835 - Building (roof) CITY OF OSHKOSH No 151835
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1606 COVINGTON DR Owner PHILIP P LICHTERMAN Create Date 08/21/2012
Designer Contractor FOX VALLEY ROOFING&SIDING
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 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 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 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 DETACHED GARAGE ONLY AND REPAIR SIDING DUE TO HAIL
of Work DAMAGE, NO STRUCTURAL CHANGES *"debit acct
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $8,000.00 Plan Approval $0.00 Permit Fee Paid $74.00 Park Dedication $0.00
Issued By: 25)--in i J Date 08/21/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1317150000
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.
Signature Date
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.
07/26/2012 13: 11 9209875717 FOX VALLEY ROOFING PAGE 05/06
•
City of Oshkosh
Inspection Services Division
P0 Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 Of HK fH
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 WT 54903-1128. Commencing work without permit(s) will result in fees being doubled or$1 00.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor particioatint> in the Permit fee Account System and have adegua_te_funds, check here
ff_,y_ou want this processed through your account .fir
JOR ADDRESS Ao0
OWNER P\.‘∎\
CONTRACTOR
i am the: ❑ Owner OR -E"tontractor
USE CATEGORY
5ingle Family ❑Duplex 0 Multi-Family 0 Rental ❑Commercial ❑industrial
Work being done:
ROOFING
liTcar off and replace existing roofing on❑house,El-garage
❑Replace wood decking
❑ Add I layer of roofing to the existing layers)on❑house, ❑garage
This work is being done due to FTiail Damage ❑Other
SIDING
❑Install siding on 0 house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
0 Replacing with
This work is being done doe toZHail Damage ❑Other /?...P,tom
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 r.iccnacd Elearic Cemrracier)
AND f'Electric installation Verification form is attached OR f'l Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: i.13 Blocks previously installed. I_I No outside lights_ I I Other
❑Install new or❑Replace gutters
❑!roan new or❑Replace downspouts
Other related work being done: (please note)
000
R e •
c e i v e d T m e eJ u 1, /6. 12012- 1 1 PM-N o. 021 6idc fair market price for labor even if you are not paying for labor) 03/02