HomeMy WebLinkAbout0157360-Building (roof) � CITY OF OSHKOSH No 157360
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OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1917 VINLAND ST Owner ELLEN M ANDERSON LIFE ESTATE Create Date 08/22/2013
Designer Contractor ACCURATE ROOFING
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence 0 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 replace roofing on house.
of Work ,
� :
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation 3,500.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: Date OS/22/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel Id# 1215970000
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 Ciry strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read a�un stand the afo,�e m�nt' ed information. 3
Signature ` '�� _C,_
�„d,��Ll � 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 Box1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 Of HKOf H
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 participating in the Permit fee Account Svstem and have adeauate funds check here
if vou want this processed throu�h vour account n �
JOB ADDRESS I 9 I� �J 1 N C/�ND �-�/�
OVb'NER �I�C.eN � �..1���S�iJ
CONTRACTOR �CGcJ 2,�{'j� 2Ud��r�1.�
I am the: ❑ Owner OR ��Contractor
�_CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Cotrunercial ❑Industrial
Work being done:
ROOFING
�off and replace existing roofing o�house,❑garage
❑Replace�vood decking
❑Add i layer of roofing to the existing layer(s)on❑house,❑gazage
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 Electric Contractor)
AND C Electric Installation Verification form is attached OR ❑Sepazate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: �J Blocks previously installed. �No outside lights. C Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ 3 5�• C�(`�(include fair market price for labor even if you are not paying for labor) 03/02