HomeMy WebLinkAbout0152294 - Building (roof) I CITY OF OSHKOSH No 152294
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 14 W 11TH AVE Owner JAMES R/LINDA MATHE Create Date _0.9/11/2012
Designer Contractor SUPERIOR EXTERIORS INC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building - O Sign O Canopy O Fence O Raze
Zoning C-3PD 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
0 Concrete Block O 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 FR/TEAR OFF AND REPLACE EXISTING ROOFING AND WOOD DECKING ON THE HOUSE ONLY(SKIP SHEATING)AND
of Work RAP WINDOWS DUE TO HAIL DAMAGE-NO STRUCTURAL CHANGES **debit acct
L -
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $9,872.64 Plan Approval $0.00 Permit Fee Paid $88.00 Park Dedication $0.00
Issued By anat.j Date 09/11/2.012 Final/O.P. 00/00/0000
❑ Permit Voided 1 Parcel Id# 0302560000
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 558 EISENHOWER DR KIMBERLY WI 54136 - 0000 Telephone Number 920-277-5329
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.
Sep. 11. 2012 1 : 55PM
No. 0214 P. 2/3
City of Oshkosh
#114
Inspection Services Division
POBox 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 QIHKOf 1
Roofing & Siding Permit Application ON THE WgTFR
• Application(s)and fee(s)can be brought to City Hall, Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WC 54903-1128. Commencing work without permit(s) will result in fees berg doubled or$100.00 plus the
nonnal permit fee,which ever is greater,
OR
I ou are a contractor •artici atin- in the P-rmit ee -ccount S stem and have adequate unds check here
i ou want this 'recessed throu-h our account r'
JOE ADDRESS ` I Ln(A.
owiv>ER U'Ma M crhi e
•
CONTRACTOR S(41.10(1U/ t o V , l r\+DcS
I an the: ❑ Owner OR tyr Contractor
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family 0 Rental
El Commercial ❑industrial
Work being done:
ROOFING
%Tear off and replace existing roofing on Vhouse,❑garage
/26Replace wood decking On S1�;,p � �-�
❑Add 1 layer of roofing to the existing p
EL Hail on❑house,0 garage
This work is being done due to ELRail 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 El Hail Damage ❑Other
When siding is done, one of the boxes below must be checked:
I) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name ofLiceosed Electric Contractor)
AND Electric Installation Verification form Is attached OR Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: I Blocks previously installed. No outside lights. Other
❑Install new or❑Replace gutters
Ca Install new or 0 Replace downspouts
Other related work being done: (please note) WI (101o W (ti/rt p.
Rood a(05,63
Value of the job $ Pares 14'4' `'i 1
R e C e v e d T i m e S 2 (include fair market price for labor even if you are not paying for labor) 03/02
p. 11. 2012 1 :48PM No. 0786