Loading...
HomeMy WebLinkAbout0155438-Building (roof) � CITY OF OSHKOSH No �5543s � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3193 BELLFIELD DR _ Owner JEFFREY J KOERNER Create Date 05/06/2013 Designer Contractor ARISTA CRAFT BUILDERS LLC Inspector Nicole Krahn 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 0 Post 0 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 AND ATTACHED GARAGE-NO STRUCTURAL CHANGES of Work �"check#4278 I _ � HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valu ion $6,100.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00 Issued By: Date 05/O6/2013 Final/O.P. 00/00/0000 ❑ Permit Voided I Parcel Id# 1381370000 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 unders d he afore mentioned information. Signature �/ Date 'D��� �� AgenUOwner Address 3203 MARSH CREEK RD OSHKOSH WI 54904 -0000 Telephone Number 233-0898 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 specifed 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 1130 � Oshkosh,WI 54903-1130 Phone:(920)236-5050 O�u�/O�u Fax:(920)236-5084 I 1�� � � 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 I{vou are a contractor participatinQ in the Permit fee Account Svstem and have adeguate funds check here if vou want this �rocessed throu�h Your account n JOB ADDRESS �j/� ����j�/�'�(r f�� OWNER �/1��� � �5�1' �v�i/i P.� CONTRACTOR �7��fil S r��'�� /,�L�'/o�l/.I ���. I am the: ❑ Owner OR �7 Contractor USE CATEGORY �Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industria( Work being done: ROOFING `�T Tear off and replace existing roofing on�'house,[�garage ❑Replace wood decking ❑Add 1 layer of roofmg to the existing layer(s)on❑house,�gazage This work is being done due to❑Hail Damage �Other S'2_ 6I" f�ii��/� 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 0 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 ❑Separa[e Elect Permit will be requested. 2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. ❑Other ❑Install new or❑Replace gutters ❑Install new or❑Replace downspouts Other related work being done: (please note) .t/G�v� ; Value of the job $ O ��� v� (include fair market price for labor even if you are not paying for labor) 03/02