HomeMy WebLinkAbout0156348-Building (roof) � CITY OF OSHKOSH No 156348
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 46 W 12TH AVE Owner GREGORY K TAGATZ Create Date 06/24/2013
Designer Contractor RIPON AREA ROOFING INC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze �
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 � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/reroofing house ,
of Work , ,
I
I
— —J
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,100.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: ��. Date 06/24/2013 Final/O.P. 00l00/0000
❑ PermitVoided Parcelld#0303140000
�
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 a cessary approvals before starting such activity.
I have read and und and th afore menti d i ormatien ,
Signature G Date
� � �� J ��
AgenUOwner
Address W13508 TRI COUNTY RD RIPON _ WI 54971 - 9219 Telephone Number (920)748-9371
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.
City of Osl�kosh �
Inspection Services Division �
P O Box 1130
Oshkosh,WI 54903-I130
Phone:(920)236-5050 01HKO.IH
F�:(920)236-5084
ON THE WATER
Roofing & Siding Permit Application ;
• 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
If vou are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here
if vou want this processed throu�vour account n .
( - , �j /' 1 ^�
JOB ADDRESS l�J'� Gy S 1 .�
� �� I r �E
n r--�
O�'�'NER 0� G �
CONTRACTOR 1 � O d �
I am the: ❑ Owner OR �Contractor
USE CATEGORY
❑Single Family ❑Duplex �ulti-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
�ROOFING
Teaz off and replace existing roofing on�house,❑garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,�garage ,
This work is being done due to O Hail Damage ❑Other
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to 0 Hail Damage ❑Other
When siding is done,one of the boxes below must be checked:
1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Elecvic Contractoc)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: Li J Blocks previously installed. C No outside lights. [_]Other
❑Install new or❑Replace gutters
❑Install new or�Replace doHmspouts
Other related work being done: (please note)
, ad
Value of the job $ (include fair market rrice for labor even if you are not raying for labor) 03/02