HomeMy WebLinkAbout0152051 - Building (roof) g) CITY OF OSHKOSH No 152051
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2336 ALLERTON DR
Owner SAM/DELPHA PFAFFENROTH Create Date 08/30/2012
Designer
Contractor ACCURATE ROOFING
Inspector Nicole Krahn
Plan
Category 041 -Residential Roofing
Type • Building O Sign O Canopy 0 Fence O Raze
Zoning R-1
Class of Const: Size
Height Ft. ❑ Projection �--
Unfinished/Basement Sq.Ft. Rooms Hei g
Finished/Living Sq.Ft. Bedrooms
Stories Canopies
Garage
Sq.Ft. Baths Signs
_ —
Poured Concrete Floating Slab Pier 0 Other
Foundation 0 g
O Concrete Block O Post O Treated Wood
Occupancy Permit Occupancy Fee _ $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature ISFR1 Tear off and reroof garage
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,100.00 Plan Approval _ $0.00 Permit Fee Paid $39.00 Park Dedication $0.00
Date 08/30/2012 Final/O.P. 00/00/0000
Issued By: �',
❑ Permit Voided I Parcel Id# 1317970000
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 n t nd the af• e mo Ione• •.formation. $ 3� 12—
Signature Date
Agent/Owner
Address E6082 S SHORE RD WEYAUWEGA WI 54983 - 0000 Telephone Number 303-1897
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,T Phone f
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),y our Name
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 01HKOf H
Fax:(920)236-5084
Roofing & Siding Permit Application ON THE WATER
• 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 Ft
JOB ADDRESS ACL r
OWNER S.AIM P�F IJ e-O%t�
CONTRACTOR kccc tear(e /2e-r(-7.06
I am the: ❑ Owner ORntractor
USE CATEGORY
,ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
❑Tear off and replace existing roofing on❑h se garage
❑Replace wood decking
❑Add I layer of roofing to the existing layer(s)on❑house.❑garage
This work is being done due to❑Hail Damage ❑Other
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 ❑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 I Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: LI 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)
Value of the job $ 2-I CC) (include fair market price for labor even if you are not paying for labor) 03/02