HomeMy WebLinkAbout2013-Building (reroof) � CITY OF OSHKOSH No 157112
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2989 RUSCHFIELD DR Owner LYNN A LORENSON Create Date 08/08/2013
Designer Contractor D&J QUALITY CONSTRUCTION
Inspector Nicole Krahn
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 �
FinishedlLiving 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 AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE DUE TO HAIL DAMAGE-N�
of Work STRUCTURAL CHANGES
� - — --
HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $9,230.00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By:�� Date 08/08/2013 FinallO.P. 00/00/0000
❑ Permit Voided � Parcel Id# 1335110000
In the pertormance 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 derstand the afore mentio information. r�
Signature �. Date c7 � ^ �3
AgenUOwner
Address 2415 H KORY L OSHKOSH WI 54901 - 2521 Telephone Number 232-0538
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection li.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.
y ., �y .rv- � >
City of Os(�kosh �
Inspection Services Division �
P O Box 1130
Oshkosh,WI 54903-ll30
Phone:�920,'36-SOSO O.IHKOlH
Fax:(920)236-5084
ON THE\NATER
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
I�vou are a contractor participating in the Permit fee Account Svstem and have adeguate funds check here
if vou want tl�is processed through vour account n
JOB ADDRESS � } � �v5�-��i��G� ,�r,
O��'NER L-�`NN �U✓(�✓l S�
CONTRACTOR _ ✓ � �S �C�% ���'�,'�" �STY u C'�i drl
I am the: ❑ Owner OR �'Contractor
USE CATEGORY
J�'single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
� ..
Work being done:
ROOFING
�Tear off and replace existing roofing on�,l house,�I garage
❑Replace�vood decking
❑Add I ]ayer 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 wid�
This work is being done due to❑Hail Damage ❑Other
When siding is done, one of the boxes below►nust be checked:
1) ❑Elecb-ic—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being perfoimed
by_
(Name of Licensed Elech�ic Contracmr)
AND ❑Electric Installation Verification form is attached OR C Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. Cl No outside lights. C Other
❑Install new or❑Replace gutters
❑Install new or O Replace downspouts
Other related work being done: (please note)
Value of the,�Ob $ � � (include fair market price for labor even if you are not paying for labor) 03/02
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