HomeMy WebLinkAbout0156793-Building (roof & siding) � CITY OF OSHKOSH No 156793
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1676 COVINGTON DR Owner ROXANNE L BRAYSHAW Create Date 07/18/2013
Designer Contractor ARC CONTRACTING OF WISCONSIN INC
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze I
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 � 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. Install siding on house and garage. ,
of Work
I**debit acct"
�
_—
—
HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $20,897.92 Plan Approval $0.00 Permit Fee Paid $163.50 Park Dedication $0.00
Issued By: �� Date 07/19/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel Id# 1317040000
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 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.
c�n�ofo�t,xo�h �
InspecGan Services Division �
P O Box 1130
Oshkosh,\�l'I�4903-1 l3a
P}wne:(920)?a6-505� O��/O u
Fax:�;920)23ti-5084 I\ f�
r Roofing & Siding Permit Application ��JZHP,�AT��,
n� �1� � :
• ApQlicatio�(s)and fee(s)can be broughi to City Hail,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commerccin�work without permit(s)will result in fees being doubled or$100.00 plus the
norinal pemnit fee,which ever is greater.
OR
I �ou are Q contractor artici atin iR rhe Permit ee Account S stene and have ade uate unds check here
i u want his rocessed Ihrou h •our accoun!
JOB.4DDRESS ` VJ � t� 6 j��
OW�'ER /�, �1
con-�R.acTo�R ARC Contracting
I am the: ❑Owner OR ■ Convactor
[J_SE CATE�sORY
�?�Single Family 0 Duplex D Multi-Family ❑Renta[ ❑Commerciat ❑Industria]
Work being dane:
RO1�FING
�Tr�r oliand replace exisdng roofing on�'LQhouse,�garage
❑Replzce wood decking
❑Add 1 Iayer ofrooting to the cxisting layer(s)on❑6ouse;O garage
This work is being done d�e to�Hail Damage 0 Other
SID:aVG
M�k,Ins:all sid�na on �ho�ue, �arage
❑Replacing vmy1 a•ith vinyl
.�.Repl�cing steel aluminum �ith��inyl(circle steel or aluminum)
❑2zplzcing w•ith
This 1+�o:k ic being done du�to�Ha7 Darnage O Other
Wh�.n siding is done,one of the boxes below must be checked:
[) ❑Electric—Existing Electric Meter,receptacle,lighting and Electrie Service entrance alterationshnodifications are being perl'ormrd :
bv
� {M�uno orLioaued Ekctcie e.aotraaor)
AN�I' C Elear-ic Installation VcriGcation form is�uached nR C Separate Eled Ferniit�vill be requesGed
2) �Electne—Not Applicable because: ❑J Blocks previousiy installed. (1 No outside lights. �J Other
❑Insratl new or❑Replace gutters
❑Iastall ne�v or 0 RepLace do►vnspouts
Other relal:ed v�ork being done: (please notej
Valne of#h�job $ �LJ i � 1� '� �(include fair marke[price For labor e�•en ifyou aze not paying for labor) 03/02
L'd £LO1-988-OZ6 6ui;oe�;uo���y e60�60£6 8l I