HomeMy WebLinkAbout2012-Building (roof) CITY OF OSHKOSH No 152264
OSHKOSH BUILDING
PERMIT -APPLICATION AND RECORD
ON THE WATER
Owner NATHAN GROSE Create Date 09/11/2012
Job Address 1259 WALNUT ST --
Designer
Contractor FOX VALLEY ROOFING&SIDING
__— --- - —
Inspector John Zarate
— — Plan
Category 041 -Residential Roofing — —
❑ Canopy 0 Fence 0 Raze
-----
Type •---Buildin 9-- � Sign —
Zoning R-2
Class of Const: Size —.
— __
Ft. E] Projectio J
Unfinished/Basement Sq.Ft. Rooms Height
Canopies
Finished/Living -- Sq.Ft. Bedrooms Stories
Signs _—
Garage Sq.Ft. Baths --_
Poured Concrete 0 Floating Slab 0 Pier 0 Other
Foundation _
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
#Dwelling Units 0 #Structures 0
Park Dedication Not Required — —
of Work REPAIRS AS S NEEDED DUE TO HAIL DAMAGED, NO STRUCTURAL CHANGES *"debit tacGARAGE ALSO MAKING SIDING
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valu n 0 $10,700.00 Plan Approval $0.00 Permit Fee Paid $94.00 Park Dedication $0.00
Issued By:
Date 09/11/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1206040000
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. Date
Signature
Agent/Owner
Address PO BOX 137 _MENASHA WI 54952 - 0137 Telephone Number (920)730-3033
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.
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City of Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh,WI 54903-1I30
Fax:(920)236-3084 5050 M;
Anna
Roofing 8 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 withoutpermit(s)will result in fees being doubled or Si00.00 plus the
normal permit fee,which ever is greater.
OR
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OWNER 6. V.g.L: •mot<.�
CONTRACTOR IA(( f 44 c dt
I am the in Owner OR YContrdctor
U�E CATEGORY
gle pamiiy ❑Duplex El Multi-Family Cl Rental ID Commercial ❑Industrial
Work being done:
ROOFING
`straw off sad replace existing roofing oittltouse#rage
O Replace wood docking
0 Add I layer of roofing to the exist* layer(e)oa 0 house,0 garage
This wodt is being done doe to)Eiail Damage CI Odor
SIDING
O Tnstti1 siding on O house, 0 garage
0 Replacing vinyl with vinyl
0 Replacing steel or alumimmn with vinyl(circle stc01 or aluminum)
0 Replacing- _with
This wotir is being done duo to o Rail Damage Other —
When siding is done,one of the boxes below must be checked:
1) Cl Electric-Existing Electric Meter,receptaele,lighting and Elect*Service entrance alteratiorrs/rnadificffiioas are being performed
by
(Neel orr.kQeoet Electric common)
ANTI 2 fl Electric Installation verification form is attached Qg 0 Separate Elect Nara will be requested
2) 0 Electric--Not Applicably because: LI J Blocks previously installed fl No outaido lights, U Other
0 Tosodl,ecw or 0 Replace gutters
O hratat]new or Cl Replace downspouts
Other related work being done: (please note).
Value of the Job$/3, (include fair market price for labor even if you are not paying ihr labor) 03/02
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