HomeMy WebLinkAbout0155564-Building (roof) e
� CITY OF OSHKOSH No 155564
. �
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
: Job Address 1706 WILSON AVE Owner DANIEL S/CHRISTINE B BOUSHLEY Create Date 05/10/2013
Designer Contractor THDAT-HOME SERVICES INC
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building 0 Sign � Canopy � Fence � 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 � Floating Slab � Pier � Other
� 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 SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE ONLY-NO STRUCTURAL CHANGES '"check#4197
of Work
� ,
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation 5,854.00 Plan Approval $0.00 Permit Fee Paid $72.00 Park Dedication $0.00
Issued By:����J � � Date 05/10/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1211850000
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
AgenUOwner
Address 3200 COBB GALLERIA PKWY STE 200 ATLANTA GA 30339 - 0000 Telephone Number 630-832-4049
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 pertormed within two business days from the time the project is ready.
City of Oshkosh �
Inspection Services Division
P O Box 1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 HK �I
Fax:(920)236-5084 _
Roofing & Siding Permit Appiication ON THF WATFR
• 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 pernut(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 participating in the Permit fee Account Svstem and have adequate funds, check here
if vou want this processed through vour account n
����I�ED
JOB ADDRESS ����o `V,� ���O (1 �'�
OWNER �1�� �h L...� MAY 0 9 2013
� ��
CONTRACTOR��� �{'�-�-p w�Q_ SQ�,� _
�arKTn1E�7'OF
I am the: ❑ Owner �R �Contractor CO:N�t1J�iTY DEVELOPMENT
iNSPECTIOV SERVICES DIVISION
USE CATEGORY
�ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
�Teaz off and replace existing roofing on�ouse,�garage
❑Replace wood deckmg
❑Add 1 layer of roofing to the existing layer(s)on O house,�garage
This work is being done due to�Hail Damage ❑Other
SIDING
❑Install siding on O house, O 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 bozes below must be checked:
1) ❑Electric-Existing Electric Meter,receptacie,lighting and Electric Service enfrance alterations/modifications are being performed
by
(Nazne ofLicensed Electric Contractor)
AND ❑Electric Installarion Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric-Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. ❑Other
D Install new or�Replace gutters
❑Install new or O Replace downspouts
Other related work being done: (please note)
O�
Value of the job � (include fair market price for labor even if you are not paying for labor) 03/OZ