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Home My WebLink About0155453-Building (roof) � CITY OF OSHKOSH No 155453 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3051 HAYWARD AVE Owner JAY S/SHAUNA L COLEMAN Create Date 05/06l2013 Designer Contractor DRIESSEN CARPENTRY Inspector John Zarate Category 041 -Residential Roofing Plan Type � Building � Sign � Canopy � Fence � Raze I Zoning R-1 Class of Const: Size Unflnished/Basement Sq.Ft. Rooms _ Height Ft. ❑ Projection Finished/Living Sq.Ft. Bedrooms Stories Canopies Garage Sq.Ft. Baths Signs Foundation � Poured Concrete 0 Floating Slab � Pier � Other � Concrete Block 0 Post 0 Treated Wood Occupancy Permit Not Required Occupancy Fee $0.00 Fiood 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#3878 of Work � HVAC Contractor _ Plumbing Contractor Electric Contractor Fees: Valuation $4,900.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00 Issued By:j�� Date 05/O6/2013 Final/O.P. 00/00/0000 ❑ Permit Voided� Parcel Id# 1343160000 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 erstand the afore mentioned information. Signature � Date ��p Agent/Owner Addre 5070 COUNTY ROAD K OSHKOSH WI 54904 - 9180 Telephone Number (920)231-7145 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 1130 Oshkosh,WI 54903-1130 Phone:(920)236-5050 O�u�/OIu 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 participating in the Permit fee Account Svstem and have adeguate funds, check here ifyou want this processed through vour account n JOB ADDRESS 3 l�7! /7'C.1/lit�C�l'� OWNER L �/ l'O'J�� CONTRACTOR �(� p_�,�,_nn�,j'!"�'{sf� � I am the: ❑ Owner OR �Contractor ' `��E CATEGORY ingle Fanuly ❑Duplex ❑Multi-Family ❑Rental ❑Cortunercial ❑Industrial Work being done: ROOFING �ear off and replace existing roofing on�ouse,❑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 SIDING ❑Install siding on ❑house, ❑garage ❑Replacing vinyl with vinyl ❑Replacing steel or aluminum with vinyl(circle steel or aluminum) ❑Replacing witli This work is being done due to❑Hai]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 (Nan�e of Licensed Elect�ic 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. 0 Other ❑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 aze not paying for labor) 03/02 ,