HomeMy WebLinkAbout0156096-Building (roof) � - CITY OF OSHKOSH No 156096
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 500 W 15TH AVE Owner CRYSTAL PETERSON Create Date 06/11/2013
Designer Contractor RB ROOFING&SIDING
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building 0 Sign 0 Canopy 0 Fence � Raze I
Zoning 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 0 Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Re-roofing the house and detached garage,complete tear off(no structural work).
of Work
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $8,000.00 Plan Approvai $0.00 Pertnit Fee Paid $86.00 Park Dedication $0.00
Issued By: ^ ��1..� Date 06/11/2013 Final/O.P. 00/00l0000
Tvcu
❑ Permit Voided� Parcel Id# 1301110000
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 t afore mentioned informati
Signature Dat �j �� —`
AgenUOwner
Address 741 W 17TH AVE OSHKOSH WI 54902 - 6706 Telephone Number (920)426-2073
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.
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City of Oslilcosh �
Inspection Services Division
P O Box 1130 �
Oshkosh,WI 54903-1li0
Phone:(920)236-5050 O�u�/Olu
Fa�c:(920)236-5084 � ��� � �
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
I{vou are a contracior participatin�r in the Permit fee Account Svstem and have adequate funds check here
if vou want this processed through vour account n
JOB ADDRESS JC U D ��/ _f ��� /� U�
ow�R ,�/? _/s� � ��Tfz-��o�-ll ;
CONTRACTOR J� G �±��i „ �
I am the: ❑ Owner OR �Contractor
USE CATEGORY
�Single Fanuly ❑Duplex ❑Multi-Family ❑Rental ❑Cominercial ❑Industrial
Work being done:
ROOFING
�Tear off and replace e�usting roofmg on�house, �gazage
❑Replace wood decking
❑Add 1 layer of roofine to the eatisting 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 aluminum)
0 Replacing witli
T'his work is being done due to❑Hail Damage ❑Other
When siding'is done,one of the boges below must be checked:
1) ❑Electric—Existing Electric Meter,receptacle,lighting and Elechic Service entrance alterations/modifications are being performed
by
(Name of Licensed Elecuic Contractor)
AND ❑Elechic 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 O Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ �g D O D� O O(include fair market price for labor even if you are not payina for labor) 03/02