HomeMy WebLinkAbout0152060 - Building (roof) CITY OF OSHKOSH No 152060
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1375 S OAKWOOD RD Owner MICHAEL WILLIAMSON Create Date 08/30/2012
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 HOSUE AND DETACHED GARAGE DUE TO HAIL DAMAGE ALSO
of Work REPAIR SOME SIDING, NO STRUCTURAL CHANGES **debit acct
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation �('�� $ ,000.00 Plan Approval $0.00 Permit Fee Paid $74.00 Park Dedication $0.00
Issued By: (-5 ' ' 1 Date 08/30/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1352010000
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.
08/29/2012 10: 01 9209875717 FOX VALLEY ROOFING PAGE 01/01
•City of Oshkosh
inspection Services Division
POBox 1130
Oshkosh,Wi 54903-1.130
Phone:(920)236-5050
Fax:(920)236-5034
ON fHC wATrR
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 WI 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 acontrac(or yarticipa(i►tQ in flue Permit tee Account Fyclem and. have adeauatg funds, check here
' if you want this vrocec,eed lhrou2h ypur account fl
JOB ADDRESS / 7 (:),Q<(J''-)( C)C) -_
OWNER � Q„ 2. \k.Lt.lektS44.%) ,
CONTRACTOR (---t),D (_;121,„ - s c r:
I am the: ❑ Owner OR contractor
USE CATEGORY
, ngle Family 0 Duplex D Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being dome:
ROOFING •
/wear off and,replace existing roofing on❑house.❑garage
O Replace wood decking
O Add 1 layer of roofing to the existing layer(s)on 0 house,❑garage
This work is being done due to -fail 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) 0 Electric-Existing Electric Meter.receptacle,lighting and Electric Service entrance alterations/modifications arc being performed
by
(lure nr Liccnsed EIcctric Ccmlricinr)
AND I l Electric installation Verification form is attached OR (,1 Separate Elect Permit will be requested_
2) ❑Electric-Not Applicable because: (1 J Blocks previously installed. E2 No outside lights. 0 Other
❑install new or❑Replace guttrra
❑install new or❑Replace downspouts
Other related work being done: (please note) ,al `SI t∎ x
R e c e i v e d T i m ellA ll g. 2 9• -2012- 9: 5 1 AM--N 0. 0 6 5 5,lude fair market price for labor even if you arc not paying for labor) 03/02