HomeMy WebLinkAbout2012-Building (roof) #14 CITY OF OSHKOSH No 152570
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2.808 RUSCHFIELD DR Owner JEREMY M/ERIN A JUNGWIRTH
Create Date 09/25/2012
Designer
--
Contractor XACT RESTORATION AND REMODELING
Inspector Nicole Krahn —-- - ----- - - -- ---
Category 041 -Residential Roofing
Plan
Type • Building _ 0 Sign 0 Canopy 0_Fence 0 Raze
Zoning R-1 Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. 0 Projection
Finished/Living Sq.Ft. Bedrooms
--- Stories Canopies
Garage ---. Sq. Ft. Baths —
Signs
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block O Post 0 Treated Wood
-----------
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain
--— --- Height Permit
Park Dedication #Dwelling Units p
#Structures
Use/Nature SFR/Re-roofing the house and attached garage due to hail damage.
of Work
L -HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation on.
$7,200.00 Plan Approval $0.00 Permit Fee Paid $74.00 Park Dedication--- $0.00
Issued By:L SJl/-' Date 09/25/2012
--_ Final/O.P.
9 Permit Voided
- - -- Parcel Id# 1340030000
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 an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure ate- - ' approv- - .efore starting such activity.
I have read and understan:�.-... - _, oned information.
Signature IC ---....
Date f)9-d 5-1/R Age .= .er
Address 1026 N MAIN S - OSHKOSH WI 54901 - 3838 Telephone Number (920)915-6798
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
P O Box 1130
Oshkosh, WI 54903-1130
IF:DPhone:(920)236-5050
Fax:(920)236-5084 OlHKOlH
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
normal permit fee, which ever is greater.
OR p the
1 ou are a contractor sartici•atin. in the Permit ee Account S stem and have adesuate unds check h
i ou want this rocessed throw h our account
ere
JOB ADDRESS ,
OWNER 7( y _ . .- -r',"
CONTRACTOR ■
C
am the: 0 Owner OR t' Contractor
USE CATEGORY
j;CS. Family 0 Duplex 0 Multi-Family 0 Rental
❑Commercial ❑Industrial
Work being done:
ROOFING
,Tear off and replace existing roofing onn house, garage ()HC:C-�l 26.1
❑Replace wood decking
0 Add I layer of roofing to the existing
This work is being done due to�Hail Damage ❑ layer(s)on house,0 garage
� \ g Other
SIDING
0 Install siding on 0 house, 0 garage
0 Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
0 Replacing
with
This work is being done due to 0 Hail Damage 0 Other
When siding is done, one of the boxes below must be checked:
1) 0 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 U Separate Elect Permit will be requested.
2) 0 Electric—Not Applicable because: ❑J Blocks previously installed. 0 No outside lights. 0 Other
.Install new or 0 Replace gutters
Install new or 0 Replace downspouts
Other related work being done: (please note)
Value of the job $ u(--).
(include fair market price for labor even if you are not paying for labor) 03/02