HomeMy WebLinkAbout0152629 - Building (roof) CITY OF OSHKOSH No 152629
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2620 TEMPLETON PL Owner LEE A/TERESA L SOSNOSKI
Create Date 09/27/2012
Designer Contractor AFFORDABLE CONTRACTING SERVICES
Inspector Nicole Krahn
Category 041 -Residential Roofing
— — Plan
Type • Building ❑ Sign 0 Canopy 0 Fence 0 Raze
Zoning R-1
Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms
_— Height Ft. [1 Projection
Finished/Living Sq.Ft. Bedrooms
Garage Stories — Canopies
g Sq.Ft. Baths
Signs
Foundation • Poured Concrete O 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 Not Required
Park Dedication Not Required #Dwelling Units p
#Structures 0
Use/Nature SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE DUE TO HAIL DAMAGE-NO 7
of Work STRUCTURAL CHANGES
HVAC Contractor —
Plumbing Contractor
Electric Contractor
Fees: Valuation $5,200.00 Plan Approval $0.00 Permit Fee Paid
$60.00 Park Dedication $0.00
Issued By: arn Date 09/27/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1318890000
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 n- _-sary approvals before starting such activity.
I have read and understand - - _• entioned information.
Signature
Date
Agent/Owner
Address 7510 SUNBURST LN NEENAH WI 54956
—_— Telephone Number (920)216-2243
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
Phone:(920)236-5050
Fax: (920)236-5084
011-11 -1
Roofing & Siding Permit Application °"T"E W"TER
• 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
I ou are a contractor sartici•atin. in the Permit ee Account S stem and have ade•uate unds check here
i ou want this processed through your account n
JOB ADDRESS g C' / /.■Jf _
OWNER
CONTRACTOR A =i
I am the: ❑ Owner OR
Contractor
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental
❑Commercial 0 Industrial
Work being done:
ROOFING
)'fear off and replace existing roofing on krh-ouse,<Marage
❑Replace wood decking
❑Add 1 layer of roofing to the existing
layer(s)on❑house,0 garage
This work is being done due to.ligiail 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
(Name of Licensed Electric Contractor)
AND C Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: J Blocks previously installed. LI No outside lights. LI Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ S200`
(include fair market price for labor even if you are not paying for labor) 03/02