HomeMy WebLinkAbout0152702 - Building (roof) 0- CITY OF OSHKOSH No 152702
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 23 CHATEAU TER Owner WALTER S WILLIAMS IV Create Date 10/02/2012
Designer Contractor TRINITY EXTERIORS INC
Inspector John Zarate
Category 041 -Residential Roofin Plan
9 rY Type " Building ❑ Sign O Canopy --❑ Fence 0 Raze —
Zoning R-1 Class of Const: _— Size
Sq.Ft. Rooms Height Ft. illProjection
Unfinished/Basement - -
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
❑ Concrete Block ❑ Post ❑ 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 ATTACHED GARAGE DUE TO HAIL DAMAGE-
of Work STRUCTURAL CHANGES **check#8152
HVAC Contractor Plumbing Contractor
Electric Contractor _ — ---_
Fees: Valuation I 8,600.00 Plan Approval $0.00 Permit Fee Paid $81.00 Park Dedication $0.00
Issued By: 31YJ W Date 10/02/2012 Final/O.P. 00/00/0000
❑ Permit Voided 1 Parcel Id# 1527560000
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 eaement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any-necessa approv is.before starting„such activity.
I have read and underst the afore; informatt 1
Signature �'i'
y_. C- - -- Date /16-').)
Agent/Owner
Address 4204 PARK GLEN RD —ST LOUIS PARK MN 55416 - 0000 Telephone Number 952-920-9520
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
c>---(----
Inspection Services Division / C a
P O Box 1 130
Oshkosh, WI 54903-1130
Phone:(920)236-5050 (" l_Il/(" f—
Fax:(920)236-5084 / I 11�� J
ON THF
Roofing & Siding Permit Application WAr
• 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 PI
JOB ADDRESS 1-3 CJ re 4(4 I e v-race. 6_,sh i(o5I , --'I S-4 yo
OWNER W41- .A l'(f +4s-1s
CONTRACTOR /a-,n,-1-�l` "rX f crinrS -1 h c_
I am the: ❑ Owner OR ArContractor
USE CATEGORY
❑ Single Family ❑ Duplex ❑ Multi-Family ❑Rental ❑Commercial ❑ Industrial
Work being done:
ROOFING
Tear off and replace existing roofing on'house,'' garage
❑ 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
SIDING
XInstall siding on X house, garage
❑ Replacing vinyl with vinyl
❑ Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑ Replacing with
This work is being done due toHail 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. Other
❑ Install new or❑ Replace gutters
❑ Install new or❑ Replace downspouts
Other related work being done: (please note)
Value of the job $ GOD (include fair market price for labor even if you are not paying for labor) 03/02