HomeMy WebLinkAbout0152135 - Building (roof) e#1 CITY OF OSHKOSH No 152135
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1643 GEORGIA ST Owner ROBERT/SONJA/KRISTI QUANT Create Date 09/05/2012
Designer Contractor PREMIERE BUILDERS LLC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building O Sign O Canopy O 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 O Floating Slab O Pier O Other
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 'RES/Tear off and replace roofing on house and garage due to hail damage. No structural alterations. Ridge vent will be provided.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,700.00 Plan Approval $0.00 Permit Fee Paid $60.00 Park Dedication $0.00
Issued By: Date 09/05/2012
Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1306933800
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 wi hin an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure a y n e ry approvals before starting such activity.
I have read and e a afore mentioned information.
Signature
Date
Agent/Owner
Address 5541 NDVIEW RD LARSEN WI 54947 - 0000 Telephone Number (920)740-1636
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.
City of Oshkosh
0.
Inspection Services Division
P Box
Oshkosh, i
Oshkhkosh, WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084 Oil l<0/1 I
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 fl
JOB ADDRESS/e 53 �c v ; 5.21•
OWNER 0Le+ Q,Ja.1*
CONTRACTOR/are.en /�u r LAG
I am the: ❑ Owner OR KContractor
,USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑ Commercial ❑Industrial
Work being done:
ROOFING
Tear off and replace existing roofing onAhouse. garage
❑Replace wood decking
❑Add I layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to glitHail 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 1 Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: -J Blocks previously installed. -No outside lights. 1 Other
Cl Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $4706- QQ (include fair market price for labor even if you are not paying for labor) 03/02