HomeMy WebLinkAbout0155289 - Building (roof) CITY OF OSHKOSH No 155289
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2200 PARKSIDE DR Owner THOMAS W KIRSLING Create Date 04/26/2013
Designer Contractor FOX VALLEY ROOFING&SIDING
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type • Building O Sign 0 Canopy O Fence O Raze
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 O Floating Slab 0 Pier 0 Other
0 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\Tear off and reroof due to hail damage(+52'of gutter)
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $8,540.00 Plan Approval $0.00 Permit Fee Paid $93.00 Park Dedication $0.00
Issued By: Date 04/26/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1219623808
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 PO BOX 137 MENASHA WI 54952 - 0137 Telephone Number (920)730-3033
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.
(include fair market price for labs ov-.if you are net paying for labor) 03/02
04/26/2013 13:42 9207252744 FOX VALLEY RFG PAGE 01/01
• - rrwaz. 01./171
City of Oshkosh
Inspection Servieng Division
P 0$00:1130 4124115 `'
Oshkosh,WI54903-1130
P (920)236.3050
Fax:(920)236-5084
Roofing & Siding Permit Application U�"
o Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 112
Oshkosh WI 54903-1128. Commencing work without permits)will result in fees being doubled or St00.00 plus the
normal permit Rte,which ever is greater.
OR
axQ re a tantr�ier »aril • attar_ i, th Pe 'L ee , count stun •rrd haw • •e,u• - ndc heck ere
t •• w, his 'ro ens.d t OK_It • . accost ►2
JOB ADDRF S 1 IHieKS1
OWNER (Owl K►gsvul.o .
ConntAc O t ' 09- 1/s4i-tiff '7o0t/A/ Si raw
I am the 0 Owner OR Qontractor
�ATEGORy
c�
❑Myles a Multi-Family o Rental o Commercial
industrial
Work being done:
ROOFING
ear*fraud replace existing rooting ondtboose,Ckl6ozee
0 Replace wood decking
0 Add I layer of roofing,to the existing layer(s)on a house.0 IldraSe
This work is being done doe topetto Damage 0 Other
SIDING
d install siring on 0 bons*, ❑tie -
0 Replacing vinyl with vinyl
a Repining steel or aluminnrn with vinyl(circle steel or alumirmm)
Replacing
� �with
This work is being dons dno too Ran Damage 0 Othe r
When siding is done,one of the boxes below atcrast be checked;
I) d Eleatic—Etienne Electric Meter.receptacle,lighting cod Elect-ie Service entrances a tlerrarionshaodifieartona are being performed
by
*mire t a
AM n Electric frtstallaaion Ve rificadon form 9s attached SR 0 Separate Elect Permit will be requested.
2) a Electric—Not Appiloabk beaten= rr r Blocks previously irately n rlo outside ligls{o, u Other
' darTnOtoll new or gutters SZ' 011.1‘,q
Cl lostii new era Replace do nspotas
Other related work being done: (please note)
value of the jobs
(include fair market price fur labor even if you are not paying for labor) 03/02