HomeMy WebLinkAbout0152253 - Building (roof) la) CITY OF OSHKOSH No 152253
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1255 CUMBERLAND TRL Owner LISAA LANGKAU Create Date 09/11/2012
Designer Contractor DNR ENTERPRISES INC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building 0 Sign 0 Canopy 0 Fence O Raze 1
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 0 Pier O Other
0 Concrete Block 0 Post O 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 ON THE HOUSE ALSO REPLACE VINYL SIDING ON TEH HOUSE(1
of Work ELEVATION ONLY-NORTH)AND INSTALL GUTTER GUARDS, DUE TO HAIL DAMAGE-NO STRUCTURAL CHANGES **check
6821
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation ❑80.00 Plan Approval $0.00 Permit Fee Paid _ $67.00 Park Dedication $0.00
Issued By:�!. . Date 09/11/2012 Final/O.P. 00/00/0000
❑ Permit Voided J Parcel Id# 1313670000
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 1434 HAZEL ST OSHKOSH WI 54901 - 0000 Telephone Number 231-1619
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
IQ'.11114
Inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 OfHKOf H
or„?HF L'1ATFR
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$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account n
JOB ADDRESS /z S S —��
Ctu�f3�L-A1J� J,e,.=rc,
OWNER L. Nc Imo,i w) Lts>,
CONTRACTOR /)A) L N T-e-J 2-P r2 r 565 1 _Lc.
I am the: ❑ Owner OR 10 Contractor
USE CATEGORY /
.O Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
-1154Tear off and replace existing roofing on,�house,❑garage
❑Replace wood decking
❑Add I layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to'JHail Damage ❑Other
SIDING
Nil Install siding otiZ:fsbhouse, ❑garage i
Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done dueHail Damage ❑Other
x When siding is done,one of the boxes below must be checked:
Ec�-t- �c
1) ❑Electric Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
i by
� -�� t+ 5 (Name of Licensed Electric Contractor)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. ❑Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note) 6u„,3„___
G c rohQ_.t�5
IgoValue of the job$ (include fair market price for labor even if you are not paying for labor) 03/02