HomeMy WebLinkAbout0153251 - Building (roof) CITY OF OSHKOSH No 153251
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1295 MARICOPA DR Owner JAMES/PAMELA KLINGER Create Date 10/30/2012
Designer Contractor HUSTAD COMPANIES INC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building Q Sign ❑ Canopy ❑ Fence _ ❑ Raze 1
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 0 Poured Concrete 0 Floating Slab O Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures - 0
Use/Nature SFR\Tear off and replace roofing and siding on house and garage
of Work
1
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $11,600.00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: Date 10/30/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1312640000
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 an '-•-ssary approvals be starting such activity.
I have read and and an. e afor- ed inform-
Signature �/t?re—t �/_ Date 1 ❑n❑�
Agent/Owner
Address 6001 FEMRITE DR MADISON WI 53718 - 0000 Telephone Number (608)224-0990
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 OIHKOlH
Phone:(920)236-5050
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 Ft
JOB ADDRESS. 7 9 MA-IL(cs�pA -64_
OWNER l J•,\ d PAN- - kl--x
CONTRACTOR 'L^' e,11, �'/,■\.4 ,A\.1 ., k til-
I am the: ❑ Owner ORntractor
USE CATEGORY ❑Rental ❑Commercial ❑Industrial
Ingle Family ❑Duplex ❑Multi-Family
Work being done:
ROOFING
..-.12 'Ca' off and replace existing roofing on ouse garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing
layer(s)on❑house,❑garage
This work is being done due to Hail Damage ❑Other
SIDING ��
his-tall siding on�n house, age
placing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing
with
This work is being done due 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) ❑Separate Elect Permit will be requested.
AND 01 Electric Installation Verification form is attached OR p
2)/1 Electric—Not Applicable because: L J Blocks previously installed outside lights. ❑Other
l
In all new or❑Replace gutters
. nstall new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ 77/Lc`�) (include fair market price for labor even if you are not paying for labor)
03/02