HomeMy WebLinkAbout0157228-Building (roof) � CITY OF OSHKOSH No 157228 �
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1203 GLEN AVE Owner PAULA S HATHAWAY/DARRICK P KOLTERJAHN Create Date OS/15/2013
Designer _ Contractor ARC CONTRACTING OF WISCONSIN INC
Inspector John Zarate
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 I
Finished/Livin9 Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab 0 Pier � Other
� Concrete Block 0 Post � Treated Wood
Occupancy Permit _ Occupancy Fee _ $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature ISFR/tear off and re-roof house and garage. Replace gutters and downspouts. Fascia work. �
of Work
li**debit acct"
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $9,913.79 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: �. Date 08/15/2013 Final/O.P. 00/00l0000
❑ Permit Voided I Parcel Id#0610030000 :
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.
Cit;•of Oshkosh
Inspection Services Division �
P Q Box 1130 �
Oshkosh,W(54903-1130
Phene:(92pjZ36-�O50 O �O �
Fa.�:(920j 236-5084
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Roofing & Siding Permit Applica#ion °"'"` "�'�R :
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� Application(s)and fee(s)can be brought to City Hall,Room 205 or rnailed to lnspection Services, PO Box 1 128,
Oshkosh WI 54903-1128. Commenci.ng work without permit(s) wi II resuh in fees being doubled or S 100,00 pl�s the
norrnal permit fee,which ever is g�ater.
OR
1 �ou ure a coniractor artici atia in the Perm' ee .4ccouRl Svs�em and have adeguate f'unds check here
rf vou wast thrs nrocessed lhrough vnur account
JOBADDRESS � 2Q 3 G-� len -��r��n�.�e
ow v�K PQ,�.�!ci �(�-�'h r.1.��,�"`,��1 j
CONTRACfOR ARC Contractin�
I am the: ❑ Owner OR ■ Contractor
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
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Work being done:
ROOFING
�Tsar off and replace eadsting roofing on I�hoase,�aragc
❑Replace wood decking
❑Add I layer of roofmg to the existing layer(s)on 0 house,�garage
This worl:is beiog done due to O Hail Damage ❑Orher
srvrNc
❑lnslaq siding on ❑house, ❑garage
❑Replacing virryi with vinyl
D Replacing stcel or aluminum wi[h�inyl(cirde steel or sluminum)
❑Replacin8 with
This work is being dooe due to�Hail Damage ❑Other
Wben sidEng is done,one of the boxes below me�st be c�ecked:
1) ❑Elecvic—E,�cisting ELectric Meter,receptacle.li�bting and Electrec Service enuance alterationsfmodifications are Ixin�performed
by
�Nauie of Licrnsed IIecuic Conmeoor) ��
AND :�Electric lnstallation Verification form is attached QR ❑SeparaLe Elect Permit will be requestcd
2) ❑Eleciric—Vot Applicable because: ❑l Blocks previously installed 7 No outside lights. U Other
❑Install new•or�1 R�eplaccgutters
�1�tall nea�or�Ul�Replacc downspouts
�.�
Other related work being d�ne: (please note) ��' 1 �
�''alue of the job$ 1 I I 1 � ' �� (include fair market price for labor even if you aze not paying for laborj 03/02
l'd £LOL-988-OZ6 6ui;oea�uo���y d9�:£0£6 ti6 6