HomeMy WebLinkAbout0152157 - building (roof) CITY OF OSHKOSH No 152157
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2820 FOX TAIL LN Owner TIMOTHY/TERRY OLSON Create Date 09/06/2012
----
Designer Contractor PECHACEK'S GENERAL CONTRACTING
Inspector Nicole Krahn
—..-------------
Category 041 -Residential Roofing Plan
Type • Building O Sign O Canopy O Fence O Raze 1
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection i
Finished/Living Sq.Ft. Bedrooms Stories —_ Canopies
Garage Sq.Ft. Baths Signs
Foundation • Poured Concrete O Floating Slab 0 Pier 0 Other
0 Concrete Block O Post ❑ 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 HOUSE AND ATTACHED GARAGE DUE TO HAIL DAMAGE, NO
of Work STRUCTURAL CHANGES **check#5437
I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation /$6,400.00 Plan Approval $0.00 Permit Fee Paid $67.00 Park Dedication $0.00
Issued By: <s_, W Date 09/06/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1332250000
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 ne read and de afore mentioned information.
Sig
> �'Date (Lp 17—
Agent/Owner
Address 23 DRY RUN RD RIVER FALLS WI 54022 - 8296 Telephone Number (715)425-9801
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.
�4q 3^]
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1 130
Fa ( (920)236-5050
0fHKO1H
Fax:x:(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 a 8).4;0 - _)C-4 7 2-4 1 Lill
OWNER---1/1"'‘N'- o-4 4" r-r-y QIS6!16,--„,--/,,-6)...,,,CONTRACTOR 4 C C � S' 6,e//t�,�,c.�' L C.
I am the: ❑ Owner OR Contractor
E CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
Near off and replace existing roofing onouse,figarage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to Damage ❑Other
SIDING
❑ , tall siding on ❑house, P garage
E l Rep . 'ng vinyl with v.
❑Replacin• teel • aluminum with vinyl(circle steel or aluminum)
❑Replacin; with
This w. is being don one to❑Hail Damage ❑Other
Whe siding is done, :ne of the boxes below must be checked:
1) ❑Ele. ric—Existin: lectric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name Ved Electric Contractor)
i ND Electric Installation Verification form is attached OR r_ Separate Elect Permit will be requested.
2) ❑Electr. Not Appli :'Ie because: _'J Blocks previously installed. !No outside lights. ❑Other
❑Install n ❑Replace gutters
❑Install ne o Replace downspouts
Other related work being done: (please note) f6 h,e_.
rr
Value of the job $ (v) y()°. (include fair market price for labor even if you are not paying for labor) 03/02