HomeMy WebLinkAbout0153041 - Building (roof) CITY OF OSHKOSH No 153041
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 121 E MELVIN AVE Owner TONI M EDWARDS/TIMOTHY ADKINS Create Date 10/17/2012
Designer Contractor ARC CONTRACTING OF WISCONSIN INC
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type • Building O Sign O Canopy O Fence O Raze
Zoning R-2 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 O Pier O 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 SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND DETACHED GARAGE DUE TO HAIL DAMAGE-NO
of Work STRUCTURAL CHANGES **debit acct
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,029.57 Plan Approval $0.00 Permit Fee Paid $60.00 Park Dedication $0.00
Issued By: Date 10/17/2012 Final/O.P. 00/00/0000
❑ Permit Voided J Parcel Id# 1001820000
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 1712 01:41p ARC Contracting 920-886-1073 p.4
City p Oshkosh
Inspection ion Services Division
POBox 1130
Oshkosh,WT 549113-1130
Phone: (920)236-5050
Fax: (9 20) 236-5084 Of-KOf H
ON THE WATER
I � 11 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 PVT 54903-1 128. Commencing work without pemtit(s)will result in fees being doubled or$100.00 plus the
nennal pen-nit fee,which ever is greater.
OR
If volt are a contractor Darticrpat(n2 in the Permit fee Account System and have adequate Jrtnds, check here
ti VOU Want (his processed throu.eim your account
.IOB ADDRESS
OWNER y'1`�
CONTRACTOR /7&'C (64 fjcr �y
I am the: 9 Owner OR ,® Contractor
SE CATEGORY
19.11,S Family ❑Duplex ❑Mu!ti-F•r.mi.y ❑Rental C Commercial ❑ Industrial
Work being done:
ROOFING
Tear off and replace existir.g roofing o:t house,' garage
❑Replace wood decking
❑Add I layer of roofing to the existinn layer(s)on❑house,❑garage
This work is being done due to LHail 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 tieing done doe to❑Hail Damage ❑Other
When siding is done, one of the boxes below must be checked:
1) ❑ Electric—Existing Electric Meter,receptacle, ::Ming and Electric Service entrance alterations/modifications are beiu_performed
by
(Kane of Licensed f.lec:ri.c Conn icier)
AND !Electric InsLe1latlon Verification forth is attached OR I Separate Elect Permit wi:l be requested.
2) 0 Electric—Not Applicable because: .1 Blocks previously ins: sled No outside lights Other
C install new or❑Replace gutters
C Install new or❑Replace downspouts
Other related work being done: (please Hole)
Value of the job S 9 ��. (include Our market price for labor even ifyou are not paying for labor) 03:02
Received Time .Oct, 17. 2012 1 : 39PM No. 1284 •