HomeMy WebLinkAbout2013-Building (roof) � CITY OF OSHKOSH No 156638
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3050 SAWYER CREEK DR Owner DAVID M/LORI K BRAND Create Date 07/11/2013
Designer Contractor OWNER .
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-1 Class of Const: Size
Unfnished/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 � Other
� Concrete Block 0 Post � Treated Wood
Occupancy Permit _ _ Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/tear off and re-roof house
of Work �
ck#10781'•
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: 7L� Date 07/11/2013 Final/O.P. 00/00/0000
❑ Permit Voided: Parcel Id# 1335170000
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 ssary approvaT e starting such activity.
I have read and-tmdefst the afore rmation.
Signature ( Date �/ �_j
AgenUOwner
Address Oshkosh WI 54901 - 0000 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Finat,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 Oslilcosh �
Inspection Services Division
P O Box 1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 O���O��
Fax:(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 contractor Darticipating in the Permit fee Account Svstem and have adeauate funds check here �
Tf vou want this Drocessed throu�your account I—I
JOB ADDRESS �� �JV ��l)1/I�VQ/� W�K�l� �1/1 � �J���V�lr(/S� �'T`1��
owrtEx ��.'V r(.t ��V 1 .g VGUA(�
CONTRACTOR
I am the: Cl�wner OR ❑ Contractor
USE CATEGORY
��ingle Faauly ❑Duplex ❑Multi-Faznily ❑Rental ❑Cominercial ❑Industrial
Work being done:
ROOFING
L�'Tear off and replace existing roofmg on�ouse,❑gazage
❑Replace wood decking
❑Add 1 layer of roofmg to the existing layer(s)on O house,�.gazage
This work is being done due to�fiail Damage ❑Other
SIDING
❑Install siding on O house, ❑garage
❑Replacing viny]with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing ��
This work is being done due to�ail Damage �Other
When siding'is done, one of the bo�es below must be checked:
1) ❑Elech-ic—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Elecuic Conhactor)
AND ❑Elechic Installation Ve�cation form is attached OR 0 Separate Elect Permit will be requested
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. ❑Other
❑Install new or�Replace gutters
❑Install new or 0 Replace downspouts
Other related work being done: (please note)
Value of the ob $ ���Q �0
J (include fair market price for labor even if you are not paying for labor) 03/02 '