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HomeMy WebLinkAbout0152979 - Building (roof) CITY OF OSHKOSH No 152979 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1660 DEERFIELD DR Owner DOUGLAS C JIROVETZ Create Date 10/15/2012 ------------------ Designer ---_ Contractor ARC CONTRACTING OF WISCONSIN INC Inspector Nicole Krahn - ------ --Category 041-Residential Roofing - - Plan Type • Building 0 Sign 0 Canopy 0 Fence ❑ Raze Zoning R-1 of Const: Size Unfinished/Basement - - Sq.Ft. Rooms Height Ft. El Projection 1 Finished/Living Sq.Ft. Bedrooms - ,-_ Stories Canopies Garage Sq. Ft. Baths Signs Foundation • Poured Concrete O Floating Slab 0 Pier 0 Other 0 Concrete Block O Post O Treated Wood Occupancy Permit Occupancy Fee $0.00 Flood Plain - -- - Height Permit Park Dedication #Dwelling Units p _ __-- #Structures 0 Use/Nature RES/Tear off and replace roofing on house and garage due to hail damage. No structural alterations. **debit acct l of Work - - - -- - - HVAC Contractor Plumbing Contractor Electric Contractor - -- Fees: Valuation $8,314.00 Plan Approval $0.00 Permit Fee Paid - - 0 $81.00 Park Dedication $0.00 Issued By: C:57774j- -- Date 10/16/2012 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id# 1320280000 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 P (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 15 12 11:50a ARC Contracting 920-886-1073 p.6 City of Oshkosh Inspection Services Division POBox ]]30 Oshkosh WI 54903-1130 Phone: (920)236-5050 Fax:(920)236-5084 Roofing & Permit Application 0 rH 'i a �.: ru ..,.rev • 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 perrnit(s)will result in fees being doubled or$100.00 plus the normal permit fcc, which ever is greater. OR if r-ou are a contractor .artici atina so the Permit ee Account System and have ado uate funds, check here ,ou want this rocessed throw h sour account JOB ADDRESS I U l_11 C l P i , .b OWNER s r CONTRACTOR 4 ' � �l ` I am the: ❑ Owner R A Contractor USE CATEGORY Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Work being done: ROOFING Tear off and replace existing roofing on$J`iiouse,"K garage ❑Replace wood decking ❑Add I layer of roofing to the existing layer(s)on O house,0 garage This work is being done due to Hail Damaee ❑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 Seine done due to 0 Flail Damage ❑Other When siding is done, one of the boxes below must be checked: I) C Electric—Existing Electric Meter,receptacle.lighting and Electric Service entrance alterations/modifications are being by Nn-ncorl..ic_nsed Electric Commct:r) p performed AND I I Electric Installation Verification form is attached OR I I Separate Elect Permit will be requestcxl. 2) ❑Electric—Not Applicable because: ..I.1 Blocks previously installed. i;No outside lights. I Other ❑ Install new or❑Replace gutters ❑ Install new or❑Replace downspouts Other related work being done: (please note) Value of the job $ P-j\ (include fair market price for la.aur even ilyuu are nut paying for labor) 034.12 Received Time Oct. 15. 2012 11 :48AM No, 1238