HomeMy WebLinkAbout0152307 - Building (roof) CITY OF OSHKOSH No 152307
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 712 DOVE ST Owner CURTIS UNANCY BECKER SR Create Date 09/11/2012
Designer Contractor SUN ROOFING
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building 0 Sign O 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 O 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(LATE PERMIT)/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE ONLY DUE TO HAIL DAMAGE, NO
of Work STRUCTURAL CHANGES **debit acct
HVAC Contractor Plumbing Contractor _
Electric Contractor
Fees: Valuation ) $2,800.00 Plan Approval $0.00 Permit Fee Paid $39.00 Park Dedication $0.00
Issued By: ( 1 W Date 09/12/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1603650000
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 4538 N FRENCH RD APPLETON WI 54913 - 8363 Telephone Number (920)954-5545 _
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.
E6L0 '°N 'I'S a'-"! 1 P" ! "' 1
City cf Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh.WI 54903-1130 af-KO.II-
Phone:(920)236-5050
Fax:(920)236-5084 ON 1- V■ATER
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 connfracior parficipalin in the Permit fee Account System and have adequate funds, check here
if you wan! this processed through 'dour- account fl
71Z 420c/e-
JOB ADDRESS
OWNER ,,/
CONTRACTOR 541
I am the: . ❑Owner OR Contractor
SE CATEGORY Industrial
ngle Family El Duplex ❑Multi-Family 0 Rental 0 Commercial
Work being done:
ROOFING
Te rr off and replace eistine roofing o;1(1,101.1%,❑garage
O Replace wood decking
❑Add 1 layer ofroofing to the existing layer(s)on❑house.❑garage
This work is being done due to (ail 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❑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 of L:ccaed Electric Contractor)
AND a Electric Installation Verification form is attached OR J Separate Elect Permit will be requests
2) ❑Electric—Not Applicable because; E I Blocks previously installed. it No outside lights. _:Other
❑Install new o;❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Zi/°Cs 03102
Value of the job $ (include fair market price for labor even if you are not paying for labor)
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