HomeMy WebLinkAbout0152397 - Building (roof) CITY OF OSHKOSH No 152397
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1028 S WESTFIELD ST Owner CORDELL W ERNST
Create Date 09/17/2012
Designer
Contractor BILL'S CONSTRUCTION
Inspector Nicole Krahn — — —_
Category 041 -Residential Roofing
—-- -----_ Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning R-1 i
Class of Const: — Size
Unfinished/Basement Sq.Ft. Rooms
Height Ft. El Projection
Finished/Living Sq.Ft. Bedrooms
Stories Canopies
Garage Sq.Ft. Baths
Signs
Foundation 0 Poured Concrete O 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 p
#Structures p
Use/Nature SFR/TEAR OFF AND REPLACE EXISTING ROOFING NO THE DETACHED GARAGE ONLY-NO STRUCTURAL CHANGES
of Work
HVAC Contractor -- — J
— -- _ Plumbing Contractor
Electric Contractor —
Fees: Valuation 2,150.00 Plan Approval _ $0.00 Permit Fee Paid
$39.00 Park Dedication $0.00
Issued B�L Date 09/17/2012
Final/O.P. 00/00/0000
Permit Voided I Parcel Id# 1309470000
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 un enti ned form . n.
Signature {e ms -/,-._ 7 ��
Date
�Agent/Owner
Address 3071 BELLAIRE LN OSHKOSH WI 54904 - 0000 Telephone Number 920-379-0206
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
Box 1130
Oshkosh,kosh,WI 54903-1130
Phone: (920)236-5050 —
Fax:(920)236-5084 OfHKO/H
Roofing & Siding Permit Application ON THE WATER
• 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 fl
JOB ADDRESS_2 q' �j' 44/e (W//lam
OWNER 1' /W l!Y
c
CONTRACTOR Cfri�Zc s , „/ el'
I am the: ❑ Owner OR ❑ Contractor
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
❑Tear off and replace existing roofing on❑housegarage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to❑Hail Damage ❑Other
SI ING
❑Ins II siding on III house, ■ to age
❑Rep cing vinyl wit, vinyl
❑Repla ing steel or al,minum with nyl(circle steel t aluminum)
❑Replac g A
with
This work t being done a e to❑tT-Tail I Image /❑O 1 er M,
Ilir
When si • g isl don. on• of th: boxe belo m st b: • ked:
�) ❑Electric— isting Elec is Meter,rece. .cle,lighting and Electric • ice entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND ❑Electric Installation Verification form is attached OR D Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. C No outside lights. ❑Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the b o ��
1 f (include fair market price for labor even if you are not paying for labor) 03/02