HomeMy WebLinkAbout0152313 - Building (roof) CITY OF OSHKOSH No 152313
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1265 FAIRFAX ST Owner TRAVIS J LIPTOW/MEGAN E KORSCH Create Date 09/12/2012
Designer Contractor ARC CONTRACTING OF WISCONSIN INC
Inspector Nicole Krahn
Category 041 -Residential Roofing _ Plan
Type • Building O Sign 0 Canopy O Fence 0 Raze
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 0 Floating Slab 0 Pier O Other
O Concrete Block O 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 SFR/TEAR OFF AND REPLACE EXISTING ROOFING,GUTTERS AND DOWNSPOUTS ON THE HOUSE AND ATTACHED GARAGE
of Work DUE TO HAIL DAMAGE-NO STRUCTURAL CHANGES **debit acct
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation 7,656.85 Plan Approval $0.00 Permit Fee Paid $74.00 Park Dedication _ $0.00
Issued By: Nil' ' Date 09/12/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1342502000
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 1496 NORTH ST NEENAH WI 54956 - 1812 Telephone Number (920)886-7663
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 12 03:27p ARC Contracting 920-886-1073 p.3
City of Oshkosh
Inspection Services Division
P0Box 1130
Oshkosh, WI 54903-1 130
Phone: (920)236-505.0 0./HKOf�—
Fax: (920)236-5084
ON °NF tn'ATFP.
Roofing & Siding Permit Appliication
• 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 resat in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participatinz in the Permit fee :.lccount System and have adequate funds, check here
if you want this processed through your account
JOB.ADDRESS - _ 6 r k .
etr-
OWNEli___IlQ 1 1.—A c)'tbti
CONTRACTOR !!11 1. ,10 4
I am the: ❑ Owner OR ti-Contractor
USE CATEGORY
,Single Family ❑ Duplex ❑ Multi-Family ❑ Rental ❑Commercial CI Industrial
Work being done:
ROOFING
1K-rear oa an replace existing roofing on"15. house,Ig garage
❑ Replace wood decking
O Add l layerofroo0ng to the existing Inverts)on❑house.❑garage
This work is being done due roli4 Hail Damage ❑Other
SIDING
❑ Install siting on ❑ house. ❑garage
❑ Replacing vinyl with vinyl
❑Replacing steel or aluminum wid] 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:
I) ❑ Electric—Existing Electric Meter,receptacle. lighting and Electric Service entrance alteraticnsintoditica:ions are being performed
by
(Name of l r,sca Llecinc Concracter)
AND Electric Installation Verification Form is attached OR Separate Elect Permit will he requested.
2) ❑ Electric—Not Applicable because: J Blocks previously installed. No outside Lights. Other_
O Install new oil Replace gutters
❑ Install new or Replace downspouts
Other related work being done: (please note)
Value of the job $ 5 ,c65 (include [iiir market price for labor even if you are not paying for labor) 03/02
Received Time Sep, 11. 2012 3: 24PM No. 0795