HomeMy WebLinkAbout2013--Building (roof) �
i
� CITY OF OSHKOSH No 156320 �
� �
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER €
Job Address 672 W 4TH AVE Owner BRIAN M LEFEBER Create Date O6/20/2013
Designer Contractor CLASSIC HOMES BY KUBA LTD z
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze
Zoning R-2 Ctass 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 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 DUPLEX/TEAR OFF AND REPLACE EXISTING ROOFING,WOOD DECKING AND GUTTERS ON THE HOUSE ONLY-NO
of Work STRUCTRAL CHANGES
�
I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valua' 4,376.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: Date 06/20/2013 Final/O.P. 00/00/0000
❑ Permit Voided! Parcel Id#0603950000
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 'thin an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure an ne sary approvals before starting such activity.
I have read a i e oned information. � �Lb �
Signature Date �'
AgenUOwner
Address 5 W 14 H A E OSHKOSH WI 54902 - 6542 Telephone Number 426-8600
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.
i
�
City of Oshkosh �
Inspection Services Division �
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 �j/ �u
Fax:(920)236-5084 �� � � �
Roofing & Siding Permit Application ON THP WATFR
5
• 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$100.00 plus the �
normal perinit fee,which ever is greater.
,
OR
�vou are a contractor participating in the PermitJee Account System and have adequate funds, check here
�vou want this processed through vour account n
JOB ADDRESS�p / dl " � �����.�—� ,
OWNER r '
CONTRACTOR
I am the: O Owner OR �Contractor
USE CATEGORY
❑Single Family �Duplex ❑Multi-Family �Rental ❑Commercial 0 Industrial
Work being done:
ROOFING
�Tear off and replace existing roofmg on�house,�gazage
�Replace wood decking '
�
❑Add 1 layer of roofing to the existing lay s)on�house,�garage €
This work is being done due to❑Hail Damage �Other ���
SIDING
❑Install siding on �house, ❑garage
O Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to❑Hail Damage ❑Other
When siding is done,one of the bozes below must be checked:
1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modificarions aze being performed
by
(Name of Licensed Etcetric Cootractor)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously instal(ed. ❑No outside lights. ❑Other
❑Install new or�Replace gutters
❑Install new or�Replace downspouts
Other related work being done: (please note)
Value of the job$ 1 � � � I+ (incWde fair market price for tabor even if you are not paying for labor) 03/02
�
�