HomeMy WebLinkAbout0156145-Building (roof) � CITY OF OSHKOSH No 156145
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2590 VILLAGE LN Owner BRIAN A/MELISSA M PIZON Create Date 05/31/2013
Designer Contractor AMERICA'S BEST REMODELING
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze �
Zoning R-3 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 0 Floating Slab 0 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 ATTACHED GARAGE DUE TO HAIL DAMAGE-NO
of Work STRUCTURAL CHANGES "*debit acct
i
I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $21,524.07 Plan Approval $0.00 Permit Fee Paid $167.00 Park Dedication $0.00
Issued By: T/�1�( Date 06/12/2013 Final/O.P. 00/00l0000
❑ Permit Voided', Parcel Id# 1320512200
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address W243N2731 SINGLE TREE DR PEWAUKEE WI 53072 - 6447 Telephone Number (262)443-4488
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
To: Ps�e 2 of 3 20'13-OS-3'1 '18:�'I:54(OMT) '186633567'13 From: Amerl�a•a Be�t Remodellny
c���or oshkosn
lnspection Services Division ����,��
P O Bux 113U __ .. ..� �.��
Oshkosh,WI 54903-1130 ����#����
Phone:(920)236-5050 �$
Fxs: (92U)236-SU84 �, ��'� ��H�����
*5,�t��4�rk.s- .
Roofing 8� Siding Permit Application
Appli�;apon(s)and fee(s)can be Urought[o C.ig�Hall,Roorn 205 or mailed to(nspecdon 5ervices,PO Box 1 I 28,Oshkosh W I 54903-1]28.
Conune,��ung work without permit(s)will result in fees being doubled or$1 D().OU plus the uornial pernvt fee,which ever is greater.
If vou are a co.�tracLor oartici�ati:�o i7 the Pe~�it F2e ArCCll"]t Svst��r a.id have
�deaua te f���ds, tv,�e Y.�� it vou t.a n hi� �r ��� r n�-� �oL� vo �r a^^ .� .YES
JOB ADDRESS i2590 Viilage Ln
OVF'1VER ;6rian Pizon �
CONTRACTOR ;America's Best Remodeling
� ._.� _.�
I am the: („� Owner OR � Contractor
U5E CATEGORY
� Sinale Family �lluplex �Multi-Family �Rental c,,�'`,,,F Commercial � Indusu-ial
Work being done:
ROOFIIYG
[� Tear off and replace exisdng roofing on � house, � garage
�] Replac:e wood decking
� Add 1 layer of rooTing to the e�:istin� � � layer(s)on � house, t�garage
r----- _�
Ttus work is being done due to � Hail Damage Od�ec �
SIDING
� Listall siding on � house, � garage
Q lteplacing vinyi k�dl vinyl
� Replacing(� steel ur � aluminum)with vinyl
Replacing ; � W;� ;
Tlus work is bein�done due to Q Hail Damage �'j Other ,
When siding is done, one of the boxes below rrrust be checked:
1) Q Elec,�tric—F.xisting F1ei,�tric rieter,rer.,eptacle,(ightii��and Ele�.�tri�Servic;e ecttraitce alterations/mocliti::atious ate being
�.
�21'�'O1TT7CC�V}��: � (1Jameofl�cenxedl�7eclricContraulor) �
Perniits requiring an Electric Installation Veritication fiorm can not be processed by e-mail since
both the application and Ef V form must be submitted together. You may print these forms and
submit thern together by coming to our office, mailing them or faxing them together at 236-�084.
To: Pefle 3 of 3 20'13-OS-3'1 -18:2�:54(C3MT) '186633567'13 From: Amerlcb•s Be�t ROmodeling
?.) � Electric—Not Applicable because: �J Blocks previously installed. �No outside li�lits.
Other� �
� install new or � Replace gutters
[� Tnscall new or[� Replace do�mspouts
Other related work being done: (please note)
_ _
:
� �,
Value uf the jo6 $;;21,52�4.07 _��(inc;lude f'air ma�i�etprice for labur even if you are notpayins�for labor)
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