HomeMy WebLinkAbout0152943 - Building (roof) CITY OF OSHKOSH No 152943
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1140 HEIDI HAVEN DR Owner WES B/CHRISTENE A TRIEBOLD Create Date 10/15/2012
Designer Contractor ALL AROUND ROOFING AND SIDING LLC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning R-1 Class of Const: Size
Height Ft. ❑ Projectio
Sq.Ft. Rooms n'
Unfinished/Basement
Finished/Living _ Sq.Ft. Bedrooms Stories Canopies Baths Signs
Garage —
Sq.Ft. - - -
Foundation • Poured Concrete O Floating Slab 0 Pier O Other
0 Concrete Block 0 Post
Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/reroofing house
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor — —_
Fees: Valuation $9,000.00 Plan Approval $0.00 Permit Fee Paid $81.00 Park Dedication $0.00
Issued By: Date 10/15/2012 Final/O.P. 00/00/0000
D Permit Voided Parcel Id# 1342506500
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 str• gly urges the permit applicant to contact the easement
holder(s)and to secure as a ppr b re stAC.• -• •Ctivity.
I have read and rstand t/ - • _,- ••-n' i .j /� ��- �,Z_
Date
Signature
Agent/Owner
Address 18538 E EDGEWOOD DR STE 10570 APPLETON WI 54913 - 0000 Telephone Number (920)422-2799
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 OfHKO.IH
Fax:(920)236-5084
ON THE 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 54903-1128. 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 Et
JOB ADDRESS /1 L/0 h/F- OT /I. 1(/ /t/ 'It
OWNER 'Y SC) - IC Titk-1 `14--/2
CONTRACTOR �` L /900,-/Pr o 17o.npv L .
I am the: v-Owner OR ❑ Contractor
USE CATEGORY C
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
NLC
Tear off and replace existing roofing on douse, ❑garage
❑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 7 Electric Installation Verification form is attached OR a Separate Elect Permit will be requested.
2) ❑Electric-Not Applicable because: L J Blocks previously installed. L 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 $ 7,P (include fair market price for labor even if you are not paying for labor) 03/02
X001