HomeMy WebLinkAbout0152121 - Building (roof) CITY OF OSHKOSH No 152121
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1203 MERRITT AVE
Owner DAVID G BONELL Create Date 08/28/2012
Designer
Contractor B KOTTKE CONSTRUCTION LLC
Inspector John Zarate
Plan
Category 041 -Residential Roofing
Type • Building O Sign O Canopy 0 Fence 0 Raze 1
Zoning R-2
Class of Const: Size
Hei ht Ft. ❑ Projection
Unfinished/Basement Sq.Ft. Rooms _ g
Finished/Living Sq.Ft. Bedrooms
Stories Canopies
Garage
Sq.Ft. Baths Signs
Foundation • Poured Concrete 0 Floating Slab O Pier O Other
O Concrete Block 0 Post O Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
#Dwelling Park Dedication Not Required g Units 0 #Structures 0
Use/Nature SFR(LATE PERMIT)/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND DETACHED GARAGE,NO
of Work STRUCTURAL CHANGES **check#1136
HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valu ion $8,875.00 Plan Approval _ $0.00 Permit Fee Paid $181.00 Park Dedication $0.00
Date 09/05/2012 Final/O.P. 00/00/0000
Issued By:
❑ Permit Voided I Parcel Id# 1100810000
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 permi --• a ion wit •- n easement,the City strongly urges the permit applicant to contact the easement
holder(s)and • -cure any ne ary approvals before starting such activity.
I have re • a • n:-•-t-•• he afore mentioned information. Date S
Signa re ....4101. c------
Agent/Owner
Address 581 4TH ST FOND DU LAC WI 54935 - 0000 Telephone Number 920-979-9024
r,Type of
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit e and Phone
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 Oshkosh
Inspection Services Division ��
P O Box 1130
Oshkosh,WI 54903-1130
Phone: (920)236-5050 Of HKOfH
Fax:(920)236-5084
ON THE WATER
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account El
JOB ADDRESS [ U YA C •
r`c--t t" A V{--
OWNER tt..• h re
CONTRACTOR-0 le rj k (c ,x 1' . L
I am the: ❑ Owner OR ,$Contractor
E CATEGORY
ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
Near off and replace existing roofing on house garage
El Replace wood decking CC` ((
❑Add 1 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 ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: .111J 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 l 5---"— (include fair market price for labor even if you are not paying for labor) 03/02