HomeMy WebLinkAbout0151901 - Building (roof) CITY OF OSHKOSH No 151901
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3105 HAYWARD AVE Owner KELLY J MILLER _Create Date 08/23/2012
Designer Contractor ARC CONTRACTING OF WISCONSIN INC
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,GUTTERS, DOWNSPOUTS AND REPLACE VINYL SIDING ON THE HOUSE
of Work AND ATTACHED GARAGE,NO STRUCTURAL CHANGES **debit acct
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valu ' n $1 807.00 Plan Approval $0.00 Permit Fee Paid $118.00 Park Dedication $0.00
Issued By: Date 08/23/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id
# 1343200000
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 1496 NORTH ST NEENAH WI 54956 - 1812 Telephone Number (920)886-7663
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.
Aug 22 12 05:35p ARC Contracting 920-886-1073 p.3
City Oshkosh
Inspection Services Division � I
P O Box 1 130
Oshkosh, WI 54903-1130
Phone:(920)236-5050 O, \Of�
Fax:(920)236-5084
ON TF;F WAIFS
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 W1 54903-1128. Commencing work without permit(s) will result in fees being doubled or 5100.00 plus the
normal permit fee, which ever is greater.
OR
1Jfyou are a contractor participating in the Permit fee Account System and have adequate funds. check here
if you want this processed through Your account
JOB ADDRESS 31135- it
OWNER t c //1ktr
CONTRACTOR / 2C �C>rttreEG-ri�5
I am the: El Owner OR l contractor
;.?JSE CATEGORY
Single Family ❑Duplex C' Multi-Family ❑ Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
Tear off and.replace existing roofing on pChousc,❑garage
• Replace wood decking
C Add 1 layer of rooting to the existing layer(s)on❑ house,❑ garage
This work is being done due to❑Hail Damage ❑Other
SIDING
IS install sididg on bi house_ 0 garage
Alteplacing vinyl with vinyl
❑ Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑ Replacing with
This work is being done due to❑ Flail Damage ❑Other
When siding is done, one of the boxes below must be checked:
I) 0 Electric-Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name orLieeusxt Elect-Tic Contactor)
AND Electric Installation Verification form is attached OR Separate Elect Permit will he requested.
2) ❑Electric-Not Applicable because: J Blocks previously installed. No outside lights. .Other
❑ Lnstall new or$G Replace gutters
❑ install new or lillteplacc downspouts
Other related work being done: (please note)
Value of the job$ I l V°1 (include lair market price for labor even ifyou are not paying for labor) 0.'=;02
Received Time Aug. 22. 2012 5: 29PM No. 0565