HomeMy WebLinkAbout0154874-Building (roof) � CITY OF OSHKOSH No �5as�4
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 28 CANNIFF CT Owner NATHANIEL A/D M HOEPER Create Date 03/28/2013
Designer Contractor ALL AROUND ROOFING AND SIDING LLC
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building 0 Sign � Canopy � Fence 0 Raze I
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection !
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
UselNature �SFR\Roofing-tear off and reroof
of Work
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,100.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
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Issued By: Date 03/28/2013 Final/O.P. 00/00/0000
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❑ Permit Voided I Parcel Id#0804190000 ' '
In the performance of this work I agree to perform all wo�rk pur �a�-to-rntes governing the described construction.
While the City of Oshkosh has no authority to e earc� sement restrictions of which it is not a party, if you perform the work
described in this permit applicatio ' an easement,the strongly urges the permit applicant to contact the easement
holder(s)and to secure e s f e ng such activity.
I have read and u erstand th ment' n af n. ��$ /3
Signature Date
AgenUOwner
Address 18538 E EDGEWOOD DR STE 10570 APPLETON WI 54913 - 0000 Telephone Number (920)422-2799
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 �
Inspection Services Division �
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 OIu�/OIu
Fax:(920)236-5084 I I�� � �
Roofing & Siding Permit Application ON THE WATER
• 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 vou are a contractor participatin� in the Permit fee Account Svstem and have adeguate funds, check here
�vou want this processed through vour account n
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JOB ADDRESS �/ �
OWNER ��I? �D�P�✓�2
CONTRACTOR L L i7����� l/t a������ �P��'''�` G L
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I am the: �Owner OR ❑ Contractor
�E CATEGORY
ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
„�Tear off and replace existing roofmg��❑house,❑garage
❑Replace wood decking
❑Add 1 layer of roofmg 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 wifli
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 Elect�ic Contractor)
AND ❑Electric Installation Verification form is attached OR ❑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) :
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Vatue of the job $ �/��' ��v (include fair market price for labor even if you aze not paying for labor) 03/02