HomeMy WebLinkAbout0155041 - Building (roof) CITY OF OSHKOSH No 155041
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 160 W 19TH AVE Owner LINN/CHELLEY BECK Create Date 04/15/2013
Designer Contractor HOME PRO SERVICES
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type • Building O Sign 0 Canopy O Fence 0 Raze
Zoning R-2 Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. E Projection
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation • Poured Concrete 0 Floating Slab O Pier O Other
0 Concrete Block 0 Post O 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 SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE ONLY-NO STRUCTURAL CHANGES **debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,875.00 Plan Approval $0.00 Permit Fee Paid $72.00 Park Dedication $0.00
Issued By: aryl Date 04/15/2013 Final/O.P. 00/00/0000
11 Permit Voided Parcel Id# 1401850000
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 3264 N MORRISON ST APPLETON WI 54911 - 1219 Telephone Number (920)850-9263
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.
Home Pro Services 920-733-7151 p.2
City of Oshkosh
Inspection Services Division
PO Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax(920)236-50E4
THE
Roofing & Siding Permit Application om WATER
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box.1128,
Oshkosh W1 54903-1128. Commencing work without permit(s)will result in fees being doubled or 5100.00 plus the
normal permit fee,which ever is greater.
OR
If von are a contractor participating in the Permit ee Account System and have adequate funds check here
if you want this processed through your account
JOB ADDRESS /c o // ` . e..,
OWNER Lydrn 8e
CONTRACTOR Glale. pro hervrceS
I am the: ❑Owner OR tl Contractor
II'9&CATEGORY
elSingle Family 0 Duplex D Multi-Family El Rental 0 Commercial CI Industrial
Work being done:
ROOFING /
rear off and replace existing roofing on B'bousc,0 garage
Replace wood decking
D Add 1 layer°flooflog to the existing layer(s)on Molise,0 garage
This work is being done due to 0 Sall Damage l�er 0I / d—
SIDING
0 install siding oa D house, O garage
n Replacing vinyl vinyl
0 Replacing steel or ahrniimon with vinyl(circle steel or aluminum)
0 Reply with
This vuork is being done due to 0 Hal Damage ❑Other
When siding is done,one of the boxes below smut be checked:
1) 0 Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance are bg performed
by
(Nam eftimmsd F3eceic Comma)
AID DI o Electric Installation verification form is attached Q$ U OSeparateElect Permit will be requested.
2) 0 Electric—Not Applicable bewasG 1:11 Blocks previously installed 0 No outside lights. o Other
O Install stew or 0 Replace galleys
0 Install new or 0 Replace downspouts
Other related work being done: (please note)
Value of the job$ o.7 (include fair market price for labor even if you arc not paying for labor) 03A)2