HomeMy WebLinkAbout0152707 - Building (roof) CITY OF OSHKOSH No 152707
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 154 W 21ST AVE Owner DANIEL P JANSEN/ANDREA E PLUEDDEMAN Create Date 10/02/2012
Designer Contractor L&S CONSTRUCTION
Inspector Nicole Krahn_Category 041 -Residential Roofing Plan
Type • Building
Q Sign 0 Canopy 0 Fence 0 Raze
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq. Ft. Rooms Height Ft. ❑ Projection
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation • Poured Concrete 0 Floating Slab 0 Pier O Other
O 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 #Structures 0
Use/Nature SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND DETACHED GARAGE-NO STRUCTURAL CHANGES
of Work **check#9273
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 10/02/2012 Final/O.P. 00/00/0000
❑ Permit Voided 1 Parcel Id# 1402370000
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 .iiii.rity to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application tilt n easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to - ure any •ecessary -' vals before starting such activity.
I have read and uriders - .I"a afor- AL ed informs
Signature `k ` 1111k,No..
■
Date r
Agent/Owner
Address W6476 SUBWAY Re FOND DU LAC WI 54937 - 0000 Telephone Number 920-923-4497
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
Phone:(920)236-5050
Fax:(920)236-5084 0/H���H
Roofing & Siding Permit Application ON 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 54903-1 128. 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 •artici•atin_ in the Permit ee Account S stem and have ade.uate unds check here
i ou tivant this processed through your account (-1
JOB ADDRESS S 1 C
OWNER
CONTRACTOR L S d
I am the: ❑ Owner OR KrContractor
USE CATEGORY
/
TSingle Family CI Duplex Duplex ❑Multi-Family ❑ 0 Commercial ❑Industrial
Work being done:
ROOFING
KTear off and replace existing roofing on krhouse,Ygarage
❑Replace wood decking
❑Add I layer of roofing to the existing
layer(s)on❑house,❑garage
This work is being done due to❑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
(Name of Licensed Electric Contractor)
AND C Electric Installation Verification form is attached OR C Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: C J Blocks previously installed. ❑No outside lights. C Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ i�GC'1 C� clude fair market price for labor even if you are not paying for labor)
03/02
/4/ I x, 1 3