HomeMy WebLinkAbout0153446 - Building (roof) CITY OF OSHKOSH No 153446
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1420 PHEASANT CREEK DR Date 11/08/2012
Owner MEGAN S AVERILL Create
-_ -----------------
Contractor DANE CONSTRUCTION -- -. - --- -
Designer ---- - - - ---- -Inspector Nicole Krahn Plan
Category 041 -Residential Roofing -- -.
Fence 0 Raze - -i
Type • Building ❑ Sign 0 Canopy ❑— - - - -- -
Zoning R_1
Class of Const: Size _ -
eight Ft. ❑ Projection �
H
Unfinished/Basement Sq.Ft. Rooms -
Stories Canopies
Finished/Living Sq.Ft. Bedrooms -
_- Signs ---
Garage Sq.Ft. Baths
Poured Concrete O Floating Slab O Pier 0 Other
Foundation g
0 Concrete Block 0 Post
Treated Wood -- - -- - - - -- -----
Occupancy Not Required Occupancy ot Reqd Occu anc Fee $0.00 Flood Plain -_ Height Permit Not Required Y Permit -- - _ --
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 STRUCUTRAL1I
of Work CHANGES
HVAC Contractor _ Plumbing Contractor ---_ -.
Electric Contractor
Fees: Valuation $3,500.00 Plan Approval $0.00 Permit Fee Paid $46.00 Park Dedication $0.00
MtL) Date 11!0812012 Final/O.P. 00/00/0000
Issued By:
❑ Permit Voided 'i Parcel Id# 1343540000
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 m tion information. /
Signature t9 4.-----vi Date {{I q-
Agent/Owner
Address 3155 HALLIE HALLOW DR Oshkosh WI 54904 - 0000 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit e andy a of
Inspection(i.e. Footing, Service, Final,etc.),Access into Building if Secure(how do we gain entry),y our Nam
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
Phone:(920)236-5050 Of HKO.IH
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 19 O � t-e--?S44,1 CAC t (c,
OWNER 1� `-'� N,'t.f
CONTRACTOR p kA- - -- CD 4/ i� K a4/
I am the: 0 Owner OR ttl Contractor
USE CATEGORY
7ILSingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
rti•Tear off and replace existing roofing on 0 house,la garage
❑Replace wood decking
❑Add I layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to itHail 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 CI Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: G J Blocks previously installed. PI No outside lights. G Other
❑Install new or❑Replace gutters
❑Install new or❑ Replace downspouts
Other related work being done: (please note)
Value of the job $ —4( 6- C,20‘ •;(/ (include fair market price for labor even if you are not paying for labor) 03/02
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