HomeMy WebLinkAbout0153014 - Building (roof) CITY OF OSHKOSH No 153014
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2991 BROMFIELD DR Owner SHAWN P/MARGARET R GROSS REV LIV TRUST Create Date 10/17/2012
Designer Contractor ARC CONTRACTING OF WISCONSIN INC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building
0 Sig n 0 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 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/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE DUE TO HAIL DAMAGE-NO
of Work STRUCTURAL CHANGES **debit acct
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $9,999.00 Plan Approval $0.00 Permit Fee Paid $88.0.0 Park Dedication $0.00
Issued By: cblirn Date 10/17/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#0658270000
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 1496 NORTH ST NEENAH WI 54956 - 1812 Telephone Number (920)886-7663
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.
Oct 16 12 02:30p ARC Contracting
920-886-1073 p.2
City Inspection
P 0 Box Services Division
F O Box 1 130
Oshkosh,WI 54903-1130
Phone:(920)6-508450 01HK01H
Fax:e:(9 )236-50
Roofing & Siding Permit Application THE l' TER
I� 3A
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services. PO Box 1128,
Oshkosh WT 54903-1128. Commencing work without permit(s) will result in lees being doubled or$100.00 plus the
normal permit fee, which eve_is greater.
OR
II you are a contractor parlicipalin” in she Permit (ee Account System and hare adequate funds. check here
I.you want this processed throuQh your account_
JOB ADDRESS .-.9_61\4____Br.6,41
OWNER n 1 oM
CONTRACTOR /9a C Q/1 / 7(7
I am the: ❑ Owner OR ,6] Contractor
USE CATEGORY
Single fc:mi:y O Duplex ❑Muir:-Family ❑Rental 0 Commercial ❑Industrial
Work being done:
ROOFING
"'Tsar off and replace existing roofing on.house, garagc
❑ Replace wood decking
❑Add I layer of roofing to the existing layer(s)oil❑house.0 garage
This work is being done due:o i f Hail D;image ❑Other
SIDING
❑install siding en ❑house, ❑garage
❑Replacing vinyl with vinyl
o Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing With
This work is being done due to❑ Hai: Damage ❑Other
When siding is done, one of the boxes below must be checked:
:) 0 Electric.--Existing Electric Meter,receptacle,lighting a:-.d Elccliic Service entrance alterations/modifications are being performed
by
;N^nic of Licanscd i semis Con;racior)
AND : Electric Installation Verification rortn is attached OR .Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable oecause: J Blocks previously installed. No outside lights, Other
❑Install new or 0 Rcplaee gutters
O install new or 0 Replace downspouts
Other-related work being done: (please note)
Value of the job S C\C (include fair market price lbr l<bor even if you are nut paying 'or tabor
paying 1 03:02
Received Time Oct.. 16. 2012 2: 28PM No. 1263