HomeMy WebLinkAbout0153477 - Building (roof) #1,- CITY OF OSHKOSH No 153477
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Owner CHAD E/JENNIFER H BARNETT Create Date 11/09/2012
Job Address 2306 ALLERTON DR -- -----------
Designer
Contractor CHAYSE CONTRACTING LL — --
---_-- —--
Inspector Nicole Krahn
Plan
Category 041 -Residentia l Roofing --__ --_-_ _ -- -- --- — --
Si Canopy 0 Fence 0 Raze — --
Type a Building 0 Sign
Zoning R 1
Class of Const: Size -
-------- - ---
Ft. ❑ Projection
Unfinished/Basement Sq.Ft. Rooms Height
Stories Canopies
Finished/Living Sq.Ft. Bedrooms _ ------- -
--- -- Signs --
Garage Sq.Ft. Baths ---
Poured Concrete 0 Floating Slab 0 Pier 0 Other
Foundation
0 Concrete Block 0 Post 0 Treated Wood -----.-
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication
#Dwelling Units 0 #Structures 0
——-- _
Use/Nature 1SFR/Late permit/Tear off and replace existing roofing on house and garage. Replacing a few areas of damaged roof sheathing where
of Work (needed. No structural changes.
HVAC Contractor _ Plumbing Contractor -----
Electric Contractor —_--
Fees: Va ation $6,00 ,00 Plan Approval _$0.00 Permit Fee Paid $160.00 Park Dedication $0.0 0
i Date 11109!2012 FinallO.P. 00/00/0000
Issued By:` 1��� ��/�!/lei
❑ Permit Voided Parcel Id# 1317940000
In the performance of this work I agree to •erform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no au • ity to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application , hin an easement,the • strongly urges the permit applicant to contact the easement
holder(s)and to secure any ne,--sary approvals before ing such activity.
I have read and understand i-- aforementioned inf ion. // 7
Signature
Agent/Owner Date
Address 557 BELMONT AVE NEENAH WI 54956 - 0000 Telephone Number 920-851-1550
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
#41111101114
Inspection Services Division
PO Box 1130
Oshkosh, 54903-1130 OIHKOlH
Phone:(920)0)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 ri
JOB ADDRESS 23 o ,4_l I e ,n
OWNER
CONTRACTOR C -y (_ "' i•
I am the: ❑ Owner OR A Contractor
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
,Tear off and replace existing roofing onihouse,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
❑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 ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. 7 No outside lights. ❑Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ O cD 0 (include fair market price for labor even if you are not paying for labor) 03/02
Name CHAYSE CONTRACTING LLC
Date 11/09/2012
Address 557 BELMONT AVE NEENAH WI 54956 - 0000
OSHKOSH Permit Number 153477
ON THE WATER Building Permit
1111111111111111111111111111111111111111
Plan Approval Fee $0.00
Storm Drainage Plan Approval Fee _ $0.00
Valuation Fee $160.00
Early Start Fee $0.00
Wrecking Fee $0.00
Fence Fee — $0.00
Sign Fee $0.00
Projection Fee $0.00 4.152 687&O5 11 2/2012
$0.00 1 534 { -BUILDING PERMIT PEE
Re-inspection Fee 12:59:01 i?,AID 150.00
Subtotal (100-0750-4374-00000) $160.00
Grade Stake Fee (100-0420-4520-00000) $0.00
UDC Seals (100-0750-4383-00000) $0.00
Parkland Dedication Fee...(327-0610-4972-00000) $0.00
Zoning Review Fee (100-0740-4334-00000) _ $0.00
GIS Site Plan (100-0740-4334-00000) $0.00
Fee Total $160.00
Check#
Cash X Amount Received $0.00
Received By Not valid until paid in City Hall Collections
Date 11/9/2012