HomeMy WebLinkAbout0155441-Building (roof) � CITY OF OSHKOSH No 155441
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 812 MERRITT AVE Owner LONNIE T DARLAND Create Date 05/02/2013
Designer Contractor SULLI-CLAN INC
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building 0 Sign � Canopy 0 Fence � Raze
Zoning C-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms _ Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundadon � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � 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 DUPLEX(LATE PERMI�/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE ONLY DUE TO HAIL DAMAGE-NO
of Work STRUCTURAL CHANGES **check#1470
�
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $151.00 Park Dedication $0.00
Issued By:� Date 05/O6/2013 Final/O.P. 00/00/0000
❑ Permit Voided j Parcel Id# 1102400000
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 neces rovals before starting such activity.
I have read and underst the a me io �formation.
Signature ��—� Date �J (Q �
AgenUOwner
Address 3065 COMMODITY L GREEN BAY WI 54304 - 5666 Telephone Number 920-337-1986
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-ll30
Phone:(920)236-5050 O�u�/O�u
Fax:(920)236-5084 � ��� 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 vou are a contractor participating in the Permit fee Account Svstem and have adeguate funds, check here
if vou want this processed throu�vour account n
JOB ADDRESS �5I�. m(�f�Q �l 1P
OWNER. WC1`�1111 �����
CONTRACTOR ���I l� Clc�� 1►�c / PC�fi�i�I� ��tl i vc.�1
I am the: ❑ Owner OR �Contractor
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
�I'ear off and replace existing roofmg on�ouse,❑garage
❑Replace wood decking :
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to f�Hail Damage ❑Other
/
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing widi
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 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. ❑Other
❑Install new or�Replace gutters .
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ J��� (include fair market price for labor even if you are not paying for labor) 03/02