Loading...
HomeMy WebLinkAbout0152774 - Building (roof) CITY OF OSHKOSH No 152774 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1540 DEERFIELD DR Owner MR/MRS CARL J SIEVERS REV TRUST Create Date 10/04/2012 Designer --_------ Contractor FOX VALLEY ROOFING&SIDING Inspector Nicole Krahn — — Category 041 -Residential Roofing Plan Type e Building n --- — � Sign 0 Canopy 0 Fence 0 Raze Zoning R-1 —J 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 O Floating Slab O Pier 0 Other O Concrete Block O Post O 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 rSFR/TEAR OFF AND REPLACE EXISTING ROOFING AND 30'OF DOWNSPOUTS ON THE HOUSE AND ATTACHED GARAGE of Work DUE TO HAIL DAMAGE-NO STRUCTURAL CHANGES **debit acct HVAC Contractor — — ---I Plumbing Contractor — Electric Contractor -- —- Fees: Valuation , Plan Approval $0.00 Permit Fee Paid f�,� ^ $81.00 Park Dedication $0.00 Issued By: /l� � , --_ ---- Date 10/04/2012 Final/O.P. 00/00/0000 ❑ Permit Voided) Parcel Id# 1320180000 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 -_— P (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. nc,,c l v cu 1 I lllc tit, L. J. LV I L ).44.rive iun 1111, 10/03/2012 15:51 9207252744 FOX VALLEY RFG PAGE 01/02 1 ..---. _ . I'MuG uAJ PJ City of Oshkosh Inspection Services Divis,7ion PO Box 1130 Oshkosh,WI 54903-1130 Phone:(920)236.5450 Fax:(920)236-S084 /` Roofing & Siding Permit Application m • Application(s)and fee(s)can be brought to City Hall,Room 205 or matted to inspection Services,PO Box 1128, Oshkosh Wi 54903-1128. Commencing work without permit(s)will result in fees being doubled or 5100.00 plus the normal permit tee,which ever is greater. OR ]fypuarea • t r .,r ' had,: i, th- Pe e A •_nt mend •e oat 1 •u w, f ; 's .recess krone_h -ter exec's' I QVe • nds c k her JOB ADDRESS i' F 7-12 (DElliccal st/9vy OWNER •,.. [ a r CONTRACTOR •. A -. _ CtOrn!(e d- 1(3).1.1 T am the: ❑Owner OR 0 Contractor USE CATEGORY Jingle Family 0 Duplex 0 Mishi gamily 0 Rental 0 Commercial 0 indnsnrial Work being done: ROOFING rTcar offend replace existing roofing anGEracaselittgarage 0 Replace wood decking 0 Add 1 layer of roofing to the existing layer(s)on 0 head 0 gam This work is being done dee toMtall Damage _ 0 Odor SIDING 0 install siding on C house C Sarago Cl Replacing vinyl with vinyi 0 Replacing steel or aluminum with vinyl(circle steel or aluminum) ❑Replacing —with This work is being done due to Cl Niel Dtttrrrtpc 0 Other When siding is done,one of the boxes beiow must be checked: 1) 0 bY Electric—Existing Electric Meter.receptacle,lighting and Electric Service entrance alterations/modifications are being performed (Iron onx:mISp(,ma;c AM fl BleettiC Installation Verification form is attached all 0 Sepa,rata Elect Permit will be regmetted. 2) 0 Electric—Net Applicable bccausc 0 J Blocky previously installed MN*outside lights. 10 Other © Noll new orIZIpnpeart-- 0 install new orig_Replace downspouts 3' Other related work being done: (please mote) Value of the job$ Qaoe.°1 (include fair market price for labor even if you are not paying far lolwr) 03102 Received Time Oct, 3. 2012 3:44PM No. 1104