HomeMy WebLinkAbout0152874 - Building (roof) CITY OF OSHKOSH No 152874
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1045 CANTERBURY DR Owner JAMIE A MENDRALLA,JEFFREY D HERZIG Create Date 0.9/27/2012
Designer Contractor SPS ROOFING TBAT-BAG INDUSTRIES
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building O Sign O Canopy 0 Fence 0 Raze
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 O Floating Slab O Pier 0 Other
0 Concrete Block 0 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 ISFR(LATE PERMIT)/TEAR OFF AND REPLACE ON HOUSE AND ATTACHED GARAGE AND FASCIA REPAIRS-NO STRUCTURAL
of Work CHANGES **check#7824
_—I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $9,900.00 Plan Approval $0.00 Permit Fee Paid $188.00 Park Dedication $0.00
Issued By: 1? tAj Date 10/10/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1311050000
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 642 MAIN ST NEENAH WI 54956 - 2472 Telephone Number (920)739-7663
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.
P O Box 1130
CityCityof Oshkosh Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project /o 5 �1 (_
Address (�h -a tAty re VSk\trAd/`
Applicant Owner or Tenant Other(describe)
Owner/ Name Lek? �,r z._ Phone 020) 37/ — Gticl t
Tenant
Address /O15 e.._e, - pr , Email
Contractor Company Name PS Phone 020 737 –7‘43
Contact Nt,I� Email Aht.-/IL42 sn 2
(t
Address 6 ' /446.[k r s frre ,e�Ce_t, L / S
State Credential #'s i 3 7 Dwelling Contrabtor Qualifier# welling Contract Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project A,� � �"� L t 6`— R
er r s
Mechanical Separate permits will be obt 'ne a following:
Permits Electrical by Plumbing by Heatin g by
Value of Job $
/ ?OD (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # /8 °'`
Y Y� Cash Permit Fee Account �l / � —
I certify the above information is complete and accurate. Any deviations from the above submitted information •ay require additional permits
to be obtained. /acknowled e and agree to these terms.
Name: "in t t1' Aew-�� (Please print) Date: / 2
Signature: / _ 7---=— --