HomeMy WebLinkAbout2013-Building (roof) � CITY OF OSHKOSH No 156731
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1067 W 4TH AVE _ Owner RONALD L/BLANCHE M WIDMER Create Date 07/16/2013
Designer _ Contractor ACCURATE ROOFING
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign 0 Canopy � Fence � Raze _J
2oning R-2 Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms _ Height Ft. ❑ Projection j
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths _ Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication _ #Dwetling Units 0 #Structures 0
Use/Nature SFR\Tear off and reroof �
of Work
I
-- — JI
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,500.00 Plan Approval _ $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: . Date 07/16/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel Id#0607630100
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 un and the afore e i d information.
�
Signature ) Date (�
AgenUOwner
Address E6082 S SHORE RD WEYAUWEGA WI 54983 - 0000 _ Telephone Number 303-1897
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 Oshkosh �
Inspection Services Division
P O Box 113a �
� Oshkosh,WI 54903-1130
Phone:(920)236-5050 O.IHKO.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 participatin� in the Permit fee Account Svstem and have adeauate funds check here
if vou want this processed through your account n
JOB ADDRESS ��C�� � � -1 �� S C �
OR'NER I�-6 ►J W 1 '.l �MQ�
CONTRACTOR � �-v 2�%e ������
I am the: ❑ Owner OR ontractar
�ATEGORY
mgle Family ❑Duplex ❑Multi-Fainily ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
l0"T�ear off and replace existing roofing�use�age
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,O garage
This work is being done due to❑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❑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 ConVactor)
AND ❑Electric Installation Verification form is attached OR �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❑Replace downspouts
Other related work being done: (please note)
Value of the job $ lf� ��G • d� (include fair market price for labor even if you are not paying for labor) 03/02