HomeMy WebLinkAbout0155618-Building (roof) � CITY OF OSHKOSH No 155618
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1279 WHEATFIELD WAY Owner PAUL TREBIATOWSKI 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 0 Raze
Zoning R-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
; Foundation � Poured Concrete � Floating Slab � Pier � Other
0 Concrete Block 0 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 'SFR/TEAR OFF AND REPLACE EXISTING ROOFING,GUTTERS AND DOWNSPOUTS ON THE HOUSE AND ATTACHED GARAGE',
of Work I�DUE TO HAIL DAMAGE-NO STRUCTURAL CHANGES **debit acct
,
I _ � :
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $9,301.88 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00 :
Issued By: ���� Date 05/14/2013 Final/O.P. 00/00/0000
�f�—
❑ Permit Voided � Parcel Id# 1341190000
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.
y 1313 01:09p ARC Contracting 920-886-1073 p.1
Ciry of Oshkosh �
Inspcc6on Serviccs Division
P O Box 1130 �
Oshkosh,WI 34903-1L30
Phone:(920)236-5050 �j�/ u '
Fax:(920)�6-5084 O r 11� I�l
CIfA 7H: \•iATFF �
Roofing & Siding Permit Application
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• Application(s)and fee(s)can be bro�ht to City Hall,Room 205 or mailed to Inspection 5ervices,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pemrit(s)will resuit in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
1 ou are a contracror IITIIC! atin in the Permil ee Account S stem and have ade uate unds chec�E here
nu want th's r ssed throu h our covnt
JOB ADDRESS_ 1�� 1 ����J- \ 1 elV� ���
OR'iVER ��,-l 1'\ �,��(.���11V,�7K�
CONTRACTOR AR.0 Contractin�
I am the: 0 Owner OR ■ Coatractor
USE CATEGORY
�Q 5ingle Fami2y ❑Duplex ❑Multi-Family ❑d2entul ❑Commerci�l ❑Indu�ial
Work being done: �
ROOFING
�Tear off aad replace existing roo5ng on'�'fiouse,�gaa�e
❑Replace wood decking
❑Add 1 layer of roofing to tfie cxisting layer(s)on❑house,�ga�agc
This work is being done due to-�Hait Damage ❑Other
SIDING
❑Install siding an ❑house, ❑garage
❑Replacing vi��l w�th vinyl
0 Replacing steel or alucninum avilh vinyl(circle steel or aluminum)
❑Rcplacing v,��
This vvodc is being do�duc to Q Hail Damagc ❑Other
When siding is done,one of the boxes below must be cbecked:
1) ❑�lectric—Existing Elect�ic Meter,receptack,lighting and Electric Service entrance alterations/modificatiora are being performed
bv
(Name of Licroscd Dectric Coalreebrj
.aN 7 Electric Installation Veri$c�tion form is attached OR =Separale Etect Permit will be icquested
2) ❑Electric—Not Appliwble becatue: ❑I Blocks previous}y installed. G No outside liphts. 0 Ot3�cr
❑lnstatl new ot�eplace gutters
�[nstail new or epface dowmpouu
Other related work being doae: (please note)
Value of the job$_�� O` ' �L� (include fair market price for labar even ifyou are ne�paying for labor) Q3/02