HomeMy WebLinkAbout0152482 - Building (roof) CITY OF OSHKOSH No 152482
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1815 OSHKOSH AVE Owner MR/MRS RUSSELL KUKLINSKI
Designer Create Date 09/19/2012
Contractor FOUR STAR ROOFING&SIDING LLC
Inspector Nicole Krahn __ __
Category 041 -Residential Roofing
- ------ — — -- — Plan __
Type • Building 0 Sign 0 Canopy 0 Fence
Zoning R-1 -- ----- - 0 Raze
— -- —
Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms
Height Ft. r] Projection
Finished/Living Sq.Ft.
Bedrooms Stories
Garage - — - Canopies
Sq.Ft. Baths
Signs
Foundation • Poured Concrete 0 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 DETACHED rGARAGE,ALSO INSTALL NEW
of Work GUTTERS AND DOWNSPOUTS-NO STRUCTURAL CHANGES **check#845
-----------
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $9,470. 0 Plan Approval
— $0.00 Permit Fee Paid $88.00 Park Dedication
Issued By: $0.00
Date 09/19/20.12 Final/O.P. 00/00/0000
❑ Permit Voided] Parcel Id# 1611700000
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 y n ssary approvals before starting such activity.
I have read and undo the fore m ntioned information.
Signature r
Agent/Owner Date 9'-% r
'
Address 7 N PARK AVE FOND DU LAC WI 54935 - 2435 Telephone Number (920)602-1299
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 1
Oshkosh,kosh,WI 54903-1130
Fax:( (022)6-508450 OlHKOlH
Fax:(920)236-5084
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
ifyou want this processed through your account fl
JOB ADDRESS J�($ 6--).5/1c661 ,4,J
OWNER RL1.55 �
CONTRACTOR �Jfcl; , 3_L S;_��
I am the: ❑ Owner OR Contractor
CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
ear off and replace existing roofing on house,,arage
❑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 - 'e -r
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:
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 I Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. C Other
nstall new or❑Replace gutters
• Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the ob $ 9 LI 7 U, Cc/
.l (include fair market price for labor even if you are not paying for labor) 03/02