HomeMy WebLinkAbout0155619-Building (roof) � CITY OF OSHKOSH No 155619
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3150 REBECCA RUN Owner DOUGLAS M/LINDA L HAMMEN Create Date 05/14/2013
Designer Contractor ARC CONTRACTING OF WISCONSIN INC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze I
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 � 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 AND ATTACHED GARAGE DUE TO HAIL DAMAGE-NO '
of Work IiSTRUCTURAL CHANGES *'debit acct �
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HVAC Contractor Plumbing CoMractor
Electric Contractor
Fees: Valuation $9,827.75 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: ��n Date 05/14/2013 Final/O.P. 00/00/0000
❑ Permit Voided ! Parcel Id# 1342505500
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 1496 NORTH ST NEENAH WI 54956 - 1812 Telephone Number (920)886-7663
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.
May 13 13 01:09p ARC Contracting 920-886-1073 p.2
City of Oshkosh �
Inspection Sen�iccs Division �
P O Box 1130
Oshkosh.�'4'I 549�3-1130
Phone:(92U)236-5050 O d/ u
Fax:(920)236-5084 9\ f 1
�,.,. ;x�`:/�,7FR
(�3a Roofing 8� Siding Perm+t Application
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Sen�ices,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees bein,�doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
11'vou are a contractor narlicipating in the Permit fee Accovn! Svslern and have adequate fz�nds. check here
if voa want this processed throuYh vour acco�unl �
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JOBADDRFSS ��� ��Cv� �1��
OR'h�R�i�.? �X�.Y'�:E�X�
�o��oR ARC Con�ractln�
I am the: ❑ Owner OR ■Contractor
USE CATEGORY
,�$ingle Family ❑Duplex O Multi-Fami[y O Rentel 0 Commcrcial ❑Industrial :
Work 6eing done: ,
ROOFING :
�Tear off and replace existing roofing on�house,�garage
O Replace zvood decking
❑Add 1 layer ufrooCmg to the existing layer(s)on O house,0 gerage
This work is being done duc tcL�Ha�7 Damage ❑Od�er
SIDING
❑InsralE siding on ❑house, ❑garage
❑Replacing��iayl with vinyl
O Replacing sted or alumiaum with vinyl(circk steel or alim�irnun)
❑Replacing �v�th
This work is being drn�e duc to O Hail Damage O Other
When siding is done,one of the 6oxes below must be checked:
1) ❑Elec�ic—E�risting Electric Meter,receptacle,lighting and E[ectric Service entrance alterations/modifications are being performed
bY
(N�e ofLiccreed Electric Contrecto[)
A1!TT) �Elec�ic Installation VeriScation form is attached � =Separate Elect Pecrnit w�l be requcsted
2) ❑Electtic—Not Applicable because: ❑J Blocks previously insialkd ?No oueside lights. ❑Ot3�er
❑Install new or❑Replace gutteis '
❑Install new or�Replace downspouts
Other related work being done: (please note)
Valne of the job� �iJ� { ' �� (include fair mazket price for Iabor even if�oa�e not paying for labor) 03/02