HomeMy WebLinkAbout0152548 - building (roof) CITY OF OSHKOSH No 152548
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1780 MARICOPA DR Owner RICKY UPATRICE A BRANNON
— Create Date 09/24/2012
Designer _ Contractor RELIABLE BUILDERS
Inspector Nicole Krahn - —
Category 041 -Residential Roofing
Plan
Type 0 Building 0 Sign — 0 Canopy 0 Fence 0 Raze
Zoning R-1 Class of Const:
_ Size
Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. D Projection
Finished/Living Sq.Ft. Bedrooms Stories
Canopies ___
Garage Sq.Ft. Baths
Signs
Foundation 0 Poured Concrete O Floating Slab 0 Pier 0 Other
0 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 ISFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND DETACHED GARAGE DUE TO HAIL DAMAGE
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $8,271.00 Plan Approval $0.00 Permit Fee Paid $81.00 Park Dedication $0.00
Issued By: J ( Date 09/24/201.2 Final/O.P. 00/00/0000
Permit Voided Parcel Id# 1316280000
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 /e (.1/ y/? t//2-1 2,
Date
Agent/Owner
Address 4425 W PROSPECT AVE _ APPLETON WI 54914 - 0000 Telephone Number
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
45)11111
Inspection Services Division
Box 1
Oshkosh,kosh,WI 54903-1130
Phone: (920)236-5050
Fax:(920)236-5084 O.IHKOfH
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 /9 ICI PI 4.A c-e." f)t
OWNER 11' p 1 (i. ,& 8/�,.t 'WA
CONTRACTOR 1�J-)JAk(c i3 cI s-/-.
I am the: ❑ Owner OR Contractor
USE CATEGORY
it Single Family ❑Duplex ❑Multi-Family ❑Rental
❑Commercial 0 Industrial
Work being done:
ROOFING
cal Tear off and replace existing roofing on OR house, .1 garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to Fr Hail 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:
1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Nance 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. ❑No outside lights. L]Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ 01/
(include fair market price for labor even if you are not paying for labor) 03/02