HomeMy WebLinkAbout0152239 - Building (roofing) CITY OF OSHKOSH No 152239
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1900 5 KOELLER ST Create Date 08/22/2012
Project RE-ROOF Project Number 0
Owner DAYTON HUDSON CORP Plan
Contractor IMPERIAL ROOF SYSTEMS CO
Inspector Nicole Krahn
Designer
Category 041 -Residential Roofin_g Type of Plan
Zoning C-2PD__ Square Footage
Major Occ Const Class
Fire Protection 0 Sprinkled 0 Unsprinkled 1 Sprinkler Design
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
❑ Projection Canopies _ _ Signs
Use/Nature
of Work
COMM/TARGET/Re-roofing per the attached scope of work. **check#54509
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valua ion $110, 00.00 Plan Approval $0.00 Permit Fee Paid $418.00 Park Dedication $0.00
Issued By: Date 09/10/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1307440105
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 under n he afore mentioned information. /
Signature 01 i%1GZ Date q( (C/-' 11
Agent/Owner
Address 203 ARMOUR ST PO BOX 522 WEST UNION IA 52175 - 0000 Telephone Number 563-422-6001
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.
`C0.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 O�I �O�f l
Fax:(920)236-5084 l
ON THE WATFR
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 fl
JOB ADDRESS CI t l Y ` { ` 1 *
—
OWNER CC\.\''C:\e_t L.UY!7 c.,va_101.1 a s
CONTRACTOR LI\U;�QV\C\ Ca,VE� x AUG ri ei115 2 2 2012
I am the: ❑ Owner OR GF1 Contractor OE"
COMMUNI
USE CATEGORY INSPECTION �r�'ISiON
❑Single Family ❑Duplex ❑Multi-Family ❑Rental j t Commercial ❑Industrial
Work being done:
ROOFING
❑Tear off and replace existing roofing on❑house,❑garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to❑Hail Damage CA Other Wit.#' (Ti t'c('i f'Y1 'C i4 _ De 1,00‘(t_.
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 L Separate Elect Permit will be requested.
2) ❑Electric–Not Applicable because: ❑i 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 $ 1\0,C C° (include fair market price for labor even if you are not paying for labor) 03/02