HomeMy WebLinkAbout0155408-Building (roofing) �
� CITY OF OSHKOSH No 155408
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1523 ALGOMA BLVD Owner JOSEPH R/LINDSEY B TERRILL Create Date 05/03/2013
Designer Contractor OWNER
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze �
Zoning R-1C 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 � Floating Slab � Pier 0 Other
� Concrete Block � Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Pa�k Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/Tear off and replace existing roofing house and garage due to leaking roof. Replacing gutters and downspouts. No structural �
of Work changes.
i
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued Byz�t'� Date 05/03/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1200170000
In the perFormance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkos has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this per � a lication within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to se ure ny n ss ap a s be ore st rtin such activity.
I have read and�er and th af m ntio ed informat' n. _ � _ 2
Signature � � Date � �J
AgenUOwner
Address Oshkosh WI 54901 - 0000 Telephone Number
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 Oslilcosh �
Inspection Services Division
P O Box ll30 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 OIu�/O�u
Fax:(920)236-5084 � ��� � �
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participatinQ in the Permit fee Account System and have adeauate funds, check here
iLvou want this processed through your account n
JOB ADDRESS S� � � � c.i u ��i
( U �
OWNER d S-� c,., '
CONTRACTOR
I am the: 6a Owner OR ❑ Contractor
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
�l Tear off and replace existing roofing on�Qhouse,{�garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to O Hail Damage l�Other �e u � �� �G o� •
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to❑Hail Damage ❑Other
When siding'is done,one of the boxes below must be checked:
1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Narne of Licensed Elecuic Contractor)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. ❑Oiher
!�Install new or,$T Replace gutters
�Install new or�[Replace downspouts
Other related work being done: (please note)
Value of the job $�� G v (include fau market price for labor even ifyou are not paying for labor) 03/02