HomeMy WebLinkAbout0153430 - Building (roof) CITY OF OSHKOSH No 153430
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER Create Date 11107/2012
Job Address 2440 W 20TH AVE --- ..
Owner CAROLYN CROFOOT 71
Contractor D&J QUALITY CONSTRUCTION
Designer ---- ------ --
-
Inspector Nicole Krahn Plan
Category 041 -Residential Roofing
-- ---- -- -
Type • Building 0 Sign 0 Canopy Q Fence �Raze J— — --
yp Size
R 1 Class of Const: ———
Zoning Rooms Height Ft 1] Projection
Sq.Ft. —
Unfinished/Basement Canopies
Sq.Ft. Bedrooms Stories
Finished/Living
- Signs --_
Garage Sq.Ft. Baths
Foundation • Poured Concrete 0 Floating Slab
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 0 #Structures#Dwelling Units
-- -_
Use/Nature SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND GARAGE-NO STRUCTURAL CHANGES
of Work
Plumbing Contractor
HVAC Contractor _----_-----------
Electric Contractor
Fees: Valuat n ' 5,985.00 Plan Approval $0.00 Permit Fee Paid $60.00 Park Dedication $0.00
Date 11/07/2012 Final/O.P. 00/00/0000
Issued By: C' c
E Permit Voided Parcel Id# 1311990200
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. 7
I have read and understand the afore mentioned i ormation. Date �� / - 1 Z
Signature
✓4,f���-L�LA
AgenUOwner
Address 2415 HICK*-Y LN I OSHKOSH WI 54901 - 2521 Telephone Number 232-0538
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type
phof
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),y our Name
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 O1HKOIH
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 n
JOB ADDRESS_ 3 -IO (A). O
OWNER 0,...0L-r CA/ "Co o0 A—
CONTRACTOR Qv`^� co-,A5" 0 c
I am the: ❑ Owner OR Contractor
U E CATEGORY
ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial El Industrial
/////Work being done:
ROOFING
Tear off and replace existing roofing on1 house,1garage
((❑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 0 Id
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 C Electric Installation Verification form is attached OR LI Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: L J Blocks previously installed. ❑No outside lights. L Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ ✓ / g V v (include fair market price for labor even if you are not paying for labor) 03/02