HomeMy WebLinkAbout0155504-Building (roof & siding) � CITY OF OSHKOSH No 155504
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1125 N WESTFIELD ST Create Date 05/07/2013
Project Reroofing,Siding Project Number 0
Owner EVERGREEN MANOR INC Plan
Contractor HEADLINER HOMES LLC
Inspector Nicole Krahn
Designer
Category 041 -Residential Roofing Type of Plan
Zoning R-1 Square Footage
Major Occ Const Class
Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design
Occupancy Permit Not Required_ Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
❑ Projection �i Canopies Signs
Use/Nature
of Work
COMM/LATE PERMIT/Re-roofing and siding work.
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HVAC Contractor Plumbing Contractor
Electric Contractor BEEZ ELECTRIC INC
Fees: Valuation $25,000.00 Plan Approval $0.00 Permit Fee Paid $355.00 Park Dedication $0.00
Issued By: �1�V . Date 05/08/2013 Final/O.P. 00/00/0000
� Permit Voided I Parcel Id# 1608630100
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 a underst d entioned information. �
Signature � Date �
Agent/Owner
Address 5 3 NATURES LN APPLETON WI 54914 - 0000 Telephone Number 0-88 -4825
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.
Permit App Roofing and Siding Page 1 of 2
� 3�5`=
City of Oshkos6
InspecNon Services Division CITY OF
p o BoX��� p.IHKO.lH
Os6kosh,WI 34903-1130
Phone:(920)236-5050 �
Fax:(920)236-5084 �� ��''����
�.,;,.4.x � ON THE WATER �
Roofing & Siding Permit Application .
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.
If ou are a contractor artici atin in the Permit Fee Account S stem and have
adequate funds, type YES if you want this processed through your account I10
.TOB AnDRESS 1125 Westfield
oWNER Evergreen At Home
CONTRACTOR Headliner Homes, LLC
I am the: ❑ Owner OR 0 Contractor
USE CATEGORY
� Single Family �Duplex �Multi-Family �Rental �Commercial � Industrial
Work being done:
ROOFING
� Teaz off and replace existing roofing on � house, � garage
❑ Replace wood decking
❑ Add 1 layer of roofing to the existing layer(s)on � house, � garage
This work is being done due to ❑ Hail Damage Other age
SIDING
� Install siding on � house, � gazage
❑ Replacing vinyl with vinyl
❑ Replacing(0 steel or � aluminum)with vinyl
Replacing Fiberboard with Vinyl
This work is being done due to ❑ Hail Damage ❑ Other age
When siding is done, one of the boxes below must be checked:
1) 0 Electric—Existin Electric Meter,rece tacle,lighting and Electric Service entrance alterations/modifications are
being performed by B�ees Electrical (Name of Licensed Electric Contractor)
Permits requiring an Electric Installation Verification form can not be processed by e-mail
since both the application and EIV form must be submitted together. You may print these
http://www.ci.oshkosh.wi.us/Community_Development/Inspection_Services/Permit App_R... 5/8/2013
Permit App Roofing and Siding Page 2 of 2
forms and submit them together by coming to our office, mailing them or f�ing them together
at 236-5084.
2) ❑ Electric—Not Applicable because: � J Blocks previousty installed. � No outside lights.
Othe
� Install new or ❑ Repiace gutters
0 Install new or❑ Replace downspouts
Other related work being done: (please note)
Replace front door and storm door
Install aluminum fascia and soffit
Value of the job $25000.00 include fair market price for labor even if you are not paying for labor)
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Submit Reset
http://www.ci.oshkosh.wi.us/Community_Development/Inspection_Services/Permit App_R... 5/8/2013