HomeMy WebLinkAbout0156350-Building (roof) � CITY OF OSHKOSH No 156350
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1215 LOCUST ST Owner DONALD W/BONNIE M BORGEN Create Date 06/24/2013 '.
Designer Contractor LEAFGUARD NORTHEAST WISCONSIN
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building 0 Sign � Canopy � Fence � 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 0 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 house only. No structural changes.
of Work
— - _�
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $9,395.00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By�� / Date O6/24/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel Id# 1612530000
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 n authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this rmit a licatio within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to ecure an nece sary approvals before starting such activity.
I h read and ndersta entioned information.
Signa Date ' 2���
AgenUOwner
Address 1449 KIMBERLY DR NEENAH WI 54956 - 1644 Telephone Number (920)558-4182
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspectio�(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 54903-1 Li0
Phone:(920)236-5050 O1HKO.lH
Fax:(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
�vou are a contractor participating in the Permit fee Account Svstem and have adeguate funds check here
i}'vou want this processed throu�h vour account n
JOB ADD SS ���� G�JC�/� � S� �S"'f�Of�
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O�i'NER_ _ � ` �rJrl v �a r,�( ►"1 :
CONTRACTOR ����� r�-E- ��
I am the: ❑ Owner OR � Contractor
U E CATEGORY
gle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
��and replace existing roofing o�se,❑garage
❑Replace wood decking
O Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to�Hail Damage �9ther
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circ(e steel or aluminum)
❑Replacing with
This work is being done due to❑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 Elecuic Contrac[or) �
AND ❑Electric Installation Verification form is attached OR �i Separate Elec[Permit will be requested.
2) ❑Electric—Not Applicable because: C J Blocks previously installed. ❑No outside lights. C Other
❑Install new or❑Replace gutters
❑Install new or❑Replace do�mspouts
Other related work being done: (please note)
Value of the job $ �3 g� (include fair market price for labor even if you are not paying for labor) 03/02