HomeMy WebLinkAbout2013-Building (roof) � CITY OF OSHKOSH No 155662
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 728 W 4TH AVE Owner DUSTIN T TURNER Create Date 05/15/2013
Designer Contractor BERTRAM&HOLTZ CONSTRUCTION LLC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy 0 Fence 0 Raze �
2oning R-2 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 � 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#1543
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,875.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: ��!� Date 05/15/2013 Final/O.P. 00/00/0000
C.T'
❑ Permit Voided I Parcel Id#0603170100
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 N1649 MEDINA DR GREENVILLE WI 54942 - 8506 Telephone Number (920)540-7107
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 Oshkosh
Inspection Services Division �
P O Box 1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 O���O��
Fa�c:(920)236-5084
Roofing & Siding Permit Application °�����'•✓hTFR
• 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 '
norma]permit fee,which ever is greater.
OR '
If vou are a contractor narticinatinQ irr the Permit fee Account Svstem and have adequate funds check here
tf vou want thts processed through vour account n
dOB ADDRESS �Jj� �� �� �v�
OWIYER �4l�n 1�z.r �,/
corrrnacTOR r�' 2ri r a►n-� + No l� - S�u�-�f,e., L-t-�-
I am the: ❑Owner OR �Contractor
USE CATEGORY ED
�Single Family ❑Duplex O Multi-Family ❑Rental ❑Commercial ❑I�u��jV
Work being done: MAY 14 2013
ROOFING :
�Tear offand replace existing roofing on�house,�garage D��'�RTA1E\T OF
CO�i�IG"s'i7"!✓n�VELOPMENT
O Replace wood decking �NSPECTiOV SERI'ICES DR'ISIQ�Y
❑Add 1 layer of roofmg to the existing layer(s)on�house,�garage
This work is being done due to�Hail Damage $�Other
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminwn)
❑Replacing with
This work is being done due to O Hail Damage O Other :
When siding is done,one of the bozes below must be checked:
1) ❑Electric—Exisring Electric Meter,receptacle,lighring and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Eloctric Contraaor)
AND ❑Electric Installation Verification form is attached OR ❑Sepatate Elect Permit will be requested.
2) ❑Electric—Not Applicabte because: ❑J Blocks previousiy installed. ❑No outside lights. ❑Other
❑Install new or�Replace gutters
�Install new or❑Replace downspouts '
Other retated work being done: (please note)
Value of the job$T j5�� (include fair market price for labor even if you ane not paying for Iabor) 03/02