HomeMy WebLinkAbout0155471-Building (roof) ;
� CITY OF OSHKOSH No �ssa��
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER s
Job Address 1318 WISCONSIN ST Owner DEREK D RUFER Create Date 05/07/2013
Designer Contractor HUISMAN HOMES
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy 0 Fence � Raze I
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection j
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete 0 Floating Slab 0 Pier � Other
� Concrete Block 0 Post � Treated Wood
s
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,GUTTER&DOWNSPOUTS ALSO REPLACE 1 CORNER POST ON THE
of Work HOUSE ONLY DUE TO TREE DAMAGE-N O STRUCTURAL CHANGES '"check#1955
� ,
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,100.00 Plan Approval $0.00 Permit Fee Paid $72.00 Park Dedication $0.00
Issued By:� Ll�L(,(� Date 05/07/2013 Final/O.P. 00/00/0000
� Permit Voided I Parcel Id# 1208490000
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 t secure any necessary approvais before starting such activity.
I have read an nderstand the afore mentioned information.
Signature Date '�
AgenUOwner
Address 3366 HARBOR BAY RD OSHKOSH WI 54901 - 1405 Telephone Number 426-1003
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 Oshlcosh �
Inspection Services Division �
P O Box1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 Olu�/O�u
Fax:(920)236-5084 I II\ I I
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 you are a contractor participatin� in the Permit �'ee Account System and have adeguate funds, check here
if vou want this processed through vour account n
JOB ADDRESS ��,� �I��Q��L S/ Y�, J�
OWNER���-� � �'�T�(
CONTRACTOR �I,�,l������.� LC_C.r
I am the: ❑ Owner OR ontractor
U�r�GORY
mgle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done: .
RO� �
ear off and replace existing roofmg on ouse,❑gazage
❑Replace wood decking
❑Add 1 layer of roofmg to the existing layer(s)on❑ho se,❑gazage
This work is being done due to❑Hail Damage Other �(— ���'1�Qi/�
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing ��Gr''�'lC�cS� widi
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
(Name of Licensed Elecuic Contractor)
AND ❑Electric Installation Verification form is attached OR ❑Sepazate Elect Permit will be requested.
2) EQ lectric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. ❑Other
❑Install new or L�lle�1 �gutters
❑Install new or C�'I�place downspouts
Other related work bemg done: (please note)
��r
Value of the job ��' V� (include fair market price for labor even if you are not paying for labor) 03/02