HomeMy WebLinkAbout0153466 - Building (roof) CITY OF OSHKOSH No 153466
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 624 W 9TH AVE Owner GERALD M BERGER Create Date 11/08/2012
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Designer Contractor ARC CONTRACTING OF WISCONSIN INC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building 0 Sign _ 0 Canopy 0 Fence 0 Raze I
Zoning R-2 Class of Const: — Size
Ft.ht 1:1 Projection
Unfinished/Basement Sq.Ft. Rooms Height
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 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 GARAGE DUE TO HAIL DAMAGE-NO STRUCTURAL
of Work CHANGES **debit acct
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation 12,755.00 Plan Approval $0.00 Permit Fee Paid $106.00 Park Dedication $0.00
SThrY") Date 11/08/2012 Final/O.P. 00/00/0000
Issued By:
❑ Permit Voided! Parcel Id# 0601140000
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.
Date
Signature
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.
09cl '°N Wd00 ti ZIOZ 'L 'A0N a�'11 pania0a�
City of Oshkosh 10iit
Inspection Services Division �
PO Box 1130
Oshkosh.WI 54903-1130 }(
Phone:(920)236-5050 Of^KOf H
Fax:(920)236-5084
Roofing & Siding Permit Application
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,YO 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.
you are a contractor parlicipatinC in the Permit fee Account System and have adequate funds. check here
if you want this processed through your account III
JOB ADDRESS `�2-
OWNER
CONTRACTOR ARC Contracting
I am the: ❑Owner OR • Contractor
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family 0 Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
Tear off and replace existing rooting on l ltouse, C4arage
❑Replace wood decking
Cl Add 1 layer of roofing to the existing layer(s)on 0 house,Cl garage
This work is being done due to Had 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 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 alterat ions/modificarions are being performed
by
(Name of Licensed Electric Contractor)
AND C Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. C No outside lights. C Other
❑Install new or Cl Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ (include fair market price for labor even ifyou are not paying for labor) 03102
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