HomeMy WebLinkAbout0151896 - building (roof/windows) CITY OF OSHKOSH No 151896
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1120 S WESTHAVEN DR
Owner LEE R/LINDA S BAERWALD
Designer Create Date 08/22/2012
Contractor FOX VALLEY ROOFING&SIDING
Inspector Nicole Krahn
Category 041 -Residential Roofin•
Plan
Type • Building 0 Sign
Canopy O Fence O Raze
Zoning R-1
Class of Const:
Size
Unfinished/Basement
Sq.Ft. Rooms Height Ft.
Finished/Living ❑ Projection
Sq.Ft. Bedrooms Stories
Garage Canopies
Sq.Ft. Baths
Signs
Foundation • Poured Concrete O Floating Slab O Pier
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 HOUSE AND ATTACHED GARAGE ALSO WRAP 7 WINDOW
of Work CASINGS AND REPLACE 5 SCREENS,NO STRUCTURAL CHANGES **debit acct
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $10,000.00 Plan Approval $0.00 Permit Fee Paid
Issued By: ( $88.00 Park Dedication $0.00
Date 08/22/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1312200000
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
Agent/Owner Date
Address PO BOX 137 MENASHA WI 54952 - 0137 Telephone Number
P (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.
08/22/2012 07:52 9209875717
FOX VALLEY ROOFING
PAGE 01/01
City of Oshkosh
Inspection Services Division
POBox .1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 Of 0.TH
Roofing & Siding Permit Application ON ihtF WnT FR
• 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 cpntractar participating ii: the .Permit /'ems
AGCO__. unl Svclem and have adequate fui:ds, check here
i/'you want ibis processed through your account n
•
JOB ADDRESS /h7 0 < ` ( -0
OWNER -_ 4�1�c� l/l�
CONTRACTOR [v"p �'�, �7 lL.(2CA. '� 1
I ant the: 0 Owner OR ,contractor
USE CATEGORY
mingle Family ❑Duplex 0 Multi-Family ❑Rental
0 Commercial 0 industrial
Work being done:
ROOFING
'71:3-ear off and replace existing roofing onhouscrage
D Replace wood decking
❑Add I layer of roofing to the existing
layers)on 0 House,❑garage
This work is being done due to 0 Hail Damage 0 Other
O install siding on ❑house, D garage
01/opining vinyl with vinyl
D Replacing steel or aluminum with vinyl(circle steel or aluminum)
D Replacing
with
This work is being done due to E7 Hail Damage O Other
When siding is done,one of the boxes below must be checked:
1) 0
bY
Electric-Existing Electric Meter.receptacle.lighting and Electric Service entrance alterations/modifications arc being performed
(Name ofUcen,,I electric contrrcwe)
AND !°;Electric installation Verification form is attached OR Li Separate Elect Permit will be requested.
2) 0 Electric- Not Applicable because; 0.1]3locks previously installed. Cl No outside lights. C Other
❑install new or 0 Replace gutters
D install new or O Replace downspnuts
Other related work being done: (please note) e 1
_C-f e Lkoz.- C.ee_SI./tJ 3
10,000.. 00
Received TirnellAug. �._ ��
22. I201.2�`7`42AM—No, U545udc fair market ce for labor cn if you not ping for labor) 03/02