HomeMy WebLinkAbout0152777 - Building (roof) CITY OF OSHKOSH No 152777
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1708 BERNHEIM ST Owner SHAWN/MICHELLE KLYSEN Create Date 10/04/2012
Designer Contractor FOX VALLEY ROOFING&SIDING
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze 1
Zoning R-1 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 0 Other
0 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/TAR OFF AND REPLACE EXISTING ROOFING,3 PIECES OF SIDING AND 70'OF DOWNSPOUTS ON THE HOUSE AND
of Work TTACHED GARAGE DUE TO HAIL DAMAGE-NO STRUCTURAL CHANGES **debit acct
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $11,940.00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: Date 10/04/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1331940000
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 Date
Agent/Owner
Address PO BOX 137 MENASHA WI 54952 - 0137 Telephone Number (920)730-3033
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.
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10/02/2012 15:37 20725244 FOX VALLEY RFG PAGE 01/01
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City of Oshkosh rues wv_LbY Kuut-1NQ PAGE 01/01
Inspection Services Division
P 0 Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236.5050
FeR:(920)236-5084
ON R WATER
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 54903-1 128. Commencing work without permit(s)will result in fees being doubled or$100,00 plus the
normal permit fee,which ever is greater.
OR
„i,_u are a conlrarty peril E..tin l 1 . th P mit - Acen ,. sin and h• e adel uate ads .., ck he _
if you wan! this processed ti ou;h •ur ace.unt 1'
JOB ADDRESS ' 7 O 8 llortimet wi C'>4►KcCVN 14(.1 l V QOM/
OWNER atA)4 4- W1 id"r11 KLy�rr�/
CONTRACTOR x.1/jgW -Y,_J? FII.J(. Si ow __
I am the: ❑ Owner OR Contractor
ME CATEGORY
Wink Family ❑Duplex [I Multi Family 0 Rental 0 Commercial 0 industrial
Work being done:
ROOFING
rear off and replace existing,roofing onVhouse,ggarase
O Replace wood decking
❑Add I layer of roofing to the existing layer(s)on 0 house.0 garage
This wodt is bring done due toWeall Damage ❑Other -
SIDING
r
0 lnstnil siding on 0 house, 0 garage
0 Replacing vinyl with vinyl Aci%rt- 3(2 c-
❑Replacing steel or aluminum with vinyl(circle stccl or aluminum)
0 Replacing with
This work is being done due to D Hail Damage 0 Other
When siding is done, one of the boxes below must be checked:
1) 0 Electric-Existing Electric Meter,receptacle,lighting end Electric Service entrance alterations/modifications are being performed
bY
(Musa orLicaRaai Ozark C+struJerj
AND 0 Electric Installation Verification form is attached 121I p Separate Eieet Petmitwill be requested_
2) ❑Electric-Not Applicable because: LI J Blocks previously installed. fl No outside lights. U Other
0 install now or 0 Mace gutters •
0 Install now o f Replace downspouts eJUVY '7rj
Other related work being done: (please Dote)
Valne of the job$ Ili 1 i-10°-!---2 (Maude fhir market price for labor even if you are not paying for labor) 03102
Received Time Oct. 2. 2012 3: 30PM No. 1069