HomeMy WebLinkAbout0152349 - Building (roof) CITY OF OSHKOSH No 152349
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 12 CHATEAU TER Owner DONALD D/JAMA C LILLIBRIDGE
— _ Create Date 09/13/2012
Designer
Contractor TRINITY EXTERIORS INC
Inspector Nicole Krahn
Category 041 Residential Roofing
---- -- --- --- — Plan
Type • Building 0 Si
g n 0 Canopy — 0 Fence 0 Raze I
Zoning R-1
Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms
Height Ft. 0 Projection j
Finished/Living Sq.Ft.
Bedrooms Stories _
Canopies
Garage — Sq.Ft. Baths
Signs
Foundation • Poured Concrete O Floating Slab 0 Pier
Other
0 Concrete Block 0 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
Use/Nature SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE DUE TO HAIL DAMAGE-NO
of Work STRUCTURAL CHANGES **check#8145
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $4,700.00 Plan Approval $0.00 Permit Fee Paid
$53.00 Park Dedication $0.00
Issued By: (?
Date 09/13/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1527600000
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 necessa a•.r. - -
-for- . -••••
ch activity.
I have read and understand the ,..-== •ned infor -
g
/Date ( � ,� --„o/L Signature r i
Agent/Owner
Address 4204 PARK GLEN RD ST LOUIS PARK MN 55416 - 0000 Telephone Number 952-920-9520
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 '
Inspection Services Division
PO Box 1130
Oshkosh, WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 0H
Roofing & Siding Permit Application THE WATER
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services, PO Box 1 128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
1 ou are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account 1
JOB ADDRESS a Chc- 4e c.4..7 -Terrance.
OWNER .ctt t,� C) �- i 1�; r e—
CONTRACTOR 1 • .n ; Ex 4e/-.cr!, C_
I am the: ❑ Owner OR ,Contractor
USE CATEGORY
i Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial l7 Industrial
Work being done:
ROOFING
Tear off and replace existing roofing onouse, garage
❑Replace wood decking
❑Add I layer of roofing to the existing _ layer(s)on❑house,❑garage
This work is being done due to cHail Damage ❑Other
SIDING
Cl Install siding on 0 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:
1) ❑Electric-Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(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. L No outside lights. i.;Other
❑Install new or❑Replace gutters
❑Install new or 0 Replace downspouts
Other related work being done: (please note)
Value of the job $ Lt '200 00 (include fair market price for labor even if you are not paying for labor) 03/02