HomeMy WebLinkAbout0155733-Building (roof) 4
� CITY OF OSHKOSH No 155733 �
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1045 W 19TH AVE Owner DIANA MARTIN Create Date 05/21/2013
Designer Contractor KENNEY CONSTRUCTION
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
� Concrete Block � 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 AND DETACHED GARAGE(ONLY 2 SLOPES)-NO
of Work ,STRUCTURAL CHANGES **check#1678
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i '
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,738.72 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: �(� Date 05/21/2013 Final/O.P. 00/00/0000
❑ Permit Voided 'I Parcel Id# 1311360000
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 secu any necessary approvals before starting such activiry.
I have read a nderst nd the afor mentioned information.
Signature Date � – Z-l� �3
AgenUOwner
Address 805 1ST CENTERAVE BRODHEAD WI 53520 - 1303 Telephone Number (608)333-9070
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.
S
City of Oshkosh �
Inspection Senrices Division �
P O Box 1130
Oshkosh,V17I 54903-1130
Phone:(920)236-5050 O (_j�/ u
Faa:(920)236-5084 f 11\ �l
ON TMf WATFR -
Roofing � Siding Permit Application
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Bo�: 1128,
Oshkosh WI 54903-1128. Conmiencing work without permit(s)will result in fees being doubled or$100.00 plus the
nornial perniit fee,v�hich eeer is greater.
OR
1/'vnu are a cnntractnr narticinatinQ in the Permit fee Accntrnt Svste»r and have adeouate (unds, check here
if ti�ou want ihis nrocessed thr•o:�Qh vour account n
JOB�DDRESS t O 'T, s w . ��+-1 �'T V SL , O SVl �.O S � V.J .L. � 1 �(0 Z
OV�'NER ^ / �l ✓"�l N
/ - l, / '� /�/ a���
CONTRACTOR �e.N N 2�•1 lArv S�G�I� a/V /i/
I am the: ❑O�vner OR �Contractor
USE CATEGORY
�'Single Family ❑Duplet ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done: '
ROOFING
�,I, � �(L.e6(re�d .
ear off and replace existing rooting on�house,�$arage O N l� 2 s b�e S �'j�-'f'<<^�
❑Replace wood dec}:ing
❑Add 1 layer oY rooYing to the existing layer(s)on O house,O garage
This work is being done due to�Hail Damage ❑Other
SIDING
❑Install siding ou ❑l�ouse, ❑garage A//�
/�
❑Replacing vinyl wtith vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing wiih
This work is being done due to❑Hail Daniage ❑Other
When siding is done,one of the bozes betow must be checked:
1) O ElecVic—Existing Electric Meter,receptacle,lighting and Electric Sen�ice entrance alierations�modihcations are being performed
by �/�
�Name of Licrnsed Eltctric Contracta)
AND ❑Electric Installation Verification fomi is attached OR ❑Separate Elect Pemut will be requestcd.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. ❑Other
❑Install new or❑Replace gutters ���,
❑Install new or O Replace downspouts
Other related work being done: (please note)
Value of the ob $ ' 7 Z
J ��J Q (include fair market price for labor even if you are not paying Yor labor) 03.%02