HomeMy WebLinkAbout0156814-Building (roof) � CITY OF OSHKOSH No 156814
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2532 FOND DU LAC RD Owner GORDON L PISTOHL _ Create Date 07/22/2013
Designer Contractor OWNER
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze
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/reroofing partial roof on house and repairing ceiling from leaky roof/no other work being done/all work will meet state and local
of Work 'codes
� -- —�
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,900.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: ��`, ` Date 07/22/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id# 1413390400
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 und t nd the afo me 'o��tion.
Signature Date ��–Z ��/�
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, 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 pertormed within two business days from the time the project is ready.
City of Oshkosh � ;
Inspection Services Division �
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 01HK01H
Fax:(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 narticipatinQ in the Permit fee Account System and have adeauate funds check here
if vou want this processed throuQh vour account n �
JOBADDRESS ����Z �O/t�� �'� � Cr C, �� �S�/'�DS�I ��`S �
OV1'NER �Pt/P/' ��/ / /S/a"h �
CONTRACTOR /�O// ��°/' (, 4/[/S�j'G�C/� Q.(�
I am the: ❑ Owner OR ❑ Contractor
US�CATEGORY
O�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
lg[Tear off and replace existing roofing on�house,❑garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑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
7'his 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 Elec�ic Contrac[or)
AND ❑Electric Installation Verification fonn is attached OR C Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. G No outside lights. ❑Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Q. oa
Value of the job $ (���— (include fair market price for labor even if you are not paying for labor) 03/02