HomeMy WebLinkAbout0154908-Building (roof) � CITY OF OSHKOSH No 154908
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3775 3777 WESTERN CT Owner STEVEN F FAUST Create Date 04/02/2013
Designer Contractor ALLIANCE CONSTRUCTION INC
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze �
Zoning R-2 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
Q Concrete Block � Post � 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 DUPLEX/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE-NO STRUCTURAL
of Work HANGES "check#6122
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,500.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: Date 04/02/2013 Final/O.P. 00/00/0000
❑ Permit Voided �I Parcel Id# 1261130000
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 perm' 'cation within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to se re any n cessary approvals before starting such activity.
I have read and un �tand t e afore ed information. �� \/�
Signature Date
AgenbOwner
Address 41 HORSESHOE RD OSHKOSH WI 54904 - 9363 Telephone Number 920-379-8484
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 Box1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 OluVOlu
Fax:(920)236-5084 I I�� � �
Roofing & Siding Permit Application �N 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�ou are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here
if vou want this processed through vour account n
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JOB ADDRESS
OWNER
CONTRACTOR �_ __ � �
I am the: ❑ Owner OR �ontractor
USE CATEGORY
❑Single Family �.Buplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
� r
Work being done:
ROOFING
�'�"ear off and replace existing roofmg orl�hous�garage
❑Replace wood decking
❑Add 1 layer of roofmg to the existing layer(s)on O house,O 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 widi
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 Elecuic Contractor)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Perrnit 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 'ob $ ��V V (include fair market rice for labor even if ou aze not a in for labor 03/02
J r y rY � )