HomeMy WebLinkAbout0153684 - Building (roof) CITY OF OSHKOSH No 153684
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1125 W 19TH AVE Owner BAUKEN S/TRACY L NOACK Create Date 11/23/2012
Designer Contractor ARC CONTRACTING OF WISCONSIN INC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building O Sign O Canopy _ O Fence O Raze
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation • Poured Concrete 0 Floating Slab O Pier O Other
O Concrete Block 0 Post O Treated Wood ----
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures – 0
Use/Nature SFR/Re-roofing*To include removal of old shingles and replace with new asphalt shingles. No structiral work.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,448.00 Plan Approval $0.00 Permit Fee Paid $39.00 Park Dedication $0.00
Issued By: Q — Date 11/23/2012 Final/O.P. 00/00/0000
/ ❑ Permit Voided Parcel Id# 1311420000
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.
Signature Date
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.
Nov 21 12 04:03p ARC Contracting 920-886-1073 p.3
City of Oshkosh
4)//4":\
inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1130
Phone: (920)236-5050 Of—KO/H
Fax:(920)236-5084 mu TnF vrATPP.
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 S100.00 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 meant this processed through your account El
.10B ADDRESS l 1 �as W. )q-h
OWNER 1vt tC\j ! `l a
CONTRACTOR ARC Contracting
I am the: ❑ Owner OR ■Contractor
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
.Tear off and replace existing roofing onSahouse,iNgarage
❑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 LGceosed Electric Conu aor)
ANT) C Electric Installation Verification form is attached OR C Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. _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 S 1] Lk (include lair market price for labor even if you arc not paying for labor) 03/02
Received Time Nov. 21. 2012 3: 03PM No. 1732