HomeMy WebLinkAbout0156668-Building (roof) � CITY OF OSHKOSH No �5ssss
� :
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3210 BELLFIELD DR Owner BRUCE W/KELLY A ATWELL Create Date 07/12/2013
Designer Contractor ARC CONTRACTING OF WISCONSIN INC
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze j
Zoning R-1 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 0 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/tear off and re-roof house and garage. Replace gutters. �
of Work
'*debit acct**
�
�
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $7,790.31 Plan Approval $0.00 PermitFee Paid $86.00 Park Dedication $0.00
Issued By: �� Date 07/12/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1381620000
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 1496 NORTH ST NEENAH WI 54956 - 1812 Telephone Number (920)886-7663
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 specifed 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 1213 08:45a ARC Contracting 920-886-1073 p.1
City of Oshkosh
Inspection Services Division �
P O Box ]130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 O �O
Roofing � Siding Permit Application CN 5-1=;VATFR
' Application(s)and fee(s)can be brought to City Ha�l,Room 205 or mailed to Inspection Sen�ices; PO 8ox 1128,
Oshkosh Vb'I 54903-1 t28, Commencing work withoutpermit(s)w�ill result in fees being do�bled or$100.00 p(us the
normal permit fee,which ever is greater.
OR
I �ou are a contracror artici atin in the Permit fee �iccvunt Svsten: and have adequate funds check here
tf vou want th�s processed throueh vnur account
JOB ADDRESS 3210 Sellfield Dr.
OWNER Bruce Atwell
CONTRACTOR ARC Contractine
I am the: D Owner OR 'PfContractor
USE CATEGORY
�ingle Family D Duple?c D Iblulti-Famity D Renta� D Commercial D industrial
Work being done:
R�OFING
�ear offand replace ea isting roofing on{�iouse,�garagc
D Replace wood dec1.-ing
D Add 1 la;•er of roofing to the zxistinQ laycr(s)on D house,D garage
�'his work is being done due to D Hail Damage D Other
SIDING
O Install siding on D house, D garage
D Replacing vinyl with�rinyl
D Replacing steel or aluminum with vinyl fcircle steel or aluminum)
O Rcplacin� with
This�eork is being done due to D Hail Damage D Other
When siding is done, one of the boxes below must be checked:
I} D Elecxric–Existing Elec1ric Meter,receptacl�lightirtg and E[ectRC Sen•ice entrance alterations/modifications are bcing performcd
by
(Name ofLic�sed Electric Contrruor)
Ai�1D D Electric Installalion Verifcation form is attached OR D Sepa�ate Elect Permit wil l be rec��sted.
2) D Elcctric—Not Applicable bccavse: D J Blocks previously installed. D 1TO outside lights. D Other
D Insiall netiv or�Replace gutters
D lnstall new or D Replace downspo�ts
Other related work being done: (please note)
Value of the job$7790_31 (include fair market price for labor even if you are not paying for labor) 03J02
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