HomeMy WebLinkAbout0157543-Building (roof) � CITY OF OSHKOSH No 157543
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 453 MOUNT VERNON ST Owner DENNIS P/DAWN M ARNOLD Create Date 09/04/2013 '
Designer Contractor SECURITY-LUEBKE ROOFING INC
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign 0 Canopy 0 Fence � Raze
Zoning R-2PD Class of Const:
Size
Unfnished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection 'i
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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/TEAR OFF EXISTING ROOFING ON THE HOUSE AND DETACHED GARAGE-NO STRUCTURAL CHANGES **check#14672
of Work
i _ _ ,
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Vatuation $23,695.00 Plan Approval $0.00 Permit Fee Paid $174.00 Park Dedication $0.00
Issued By: �)�)')(.✓ Date 09/04/2013 Finai/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0400590000
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 820 HYLANDAVE KAUKAUNA WI 54130 - 1447 Telephone Number (920)766-7904
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 1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 ��u�/O u
Fa�c:(920)236-5084 f II� f I
c�ra rHS LvP.rFa �
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit fee Account Svstem and have adeguate funds check here
iLvou want this processed throu�vour account n
.IOB ADDRESS 453 Mount Vernon St., Oshkosh WI 54901
OWNER Dennis (Paul)Arnold
CONTRACTOR Security-Luebke Roofing, Inc.
I am the: ❑ Owner OR � Contractor
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑ lndustrial
Work being done:
ROOFING
�Tear off and replace existing roofing on�house,Gd garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on O house,�garage
This work is being done due to❑Hail Damage ❑Other
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to❑Hail Damage ❑Other
When siding is done,one of the boxes below must be checked:
1) O Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by :
(Name of Licensed Electric Contracror)
AND I Electric Installation Verification form is attached OR Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: 'J Blocks previously installed. No outside lights. Other
O Install new or❑Replace gutters
❑Install new or O Replace downspouts
Other related work being done: (please note) :
Value of the job$ 23,695.00 (include fair mazket price for labor even if you are not paying for labor) 03/02