HomeMy WebLinkAbout0158725-Building (roof) � CITY OF OSHKOSH No 157825
�
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 925 PHEASANT CREEK DR Owner NORTHWESTERN MUTUAL WMC/FBO LUKER Create Date 09/19/2013
Designer Contractor ARC CONTRACTING OF WISCONSIN INC
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign 0 Canopy � Fence � Raze �
Zoning R-1 Class of Const: Size
Unfinished/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 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 �
of Work
"debit acct�'
I
I i
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $7,581.84 Plan Approval $0.00 Permit Fee Paid $86.00 Park Dedication $0.00
Issued By: ��� Date 09/19/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id# 1342650000
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.
Ciry of Osh(cosh �
Inspection Services Division
POBox 1130 � .
Oshkosh,WI 54903-1130
Phone:f920)236-5050 � � '�1 :� �y/ {�
Fax:(920)236-5084 L— ' — �- I ll� 1 I
cn �H��.•rRrFe
Roof�ng 8� 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�VI 54903-1128. Commencing workwithout permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
I ou are a contractor ar!'ci atin in �he Pe�mit ee Account S s�em and have ade uate unds check here
� •ou want this racessed thro� h our account :
JO$ADDRESS 925 Pheasant Creek Drive
OWNER SamaAtha Luker
CON7"RACTOR ARC ContractinQ
I au�the: D Owner OR �Contractor
USE CATEGORY
1�ingFe Farnily D Duplex D Multi-Family D RentaI D Commerciat D Industrial
Work beiag done:
ROOFING
S�Tear ofFand replace existin�roofing on�housc,�garage
D Replace wood decl:ing
D tldd I tayer of roofing to the existing layer(s)on D house,D garage
This work is being done due to D Hai1 Damaee D Otr�er
SIDING :
D Install siding on D house. D garage
D Replacir.gviny(with viny)
D Replacing steel or aluminum�vith��inyl(eircle steel or aluminum)
D Replacing W��
This�vork is being done due to D Hail Damage D Other
When siding is done,one of the boxes below�nu.rt be checked:
f) D Electric—Existing Electric Meter,receptacle,ligtiting and EJectric Service entrance alterdtions/modifications are being perforrned
by
<Namc of Licensed Elcctrie Contracior)
AND D Electrie Installation Verifiption form is attached OR D Se�arate Elcct Permit will be requested.
2) D Electric—Not Applicable because: �J Blocks previously installed. D No outside lights. D O[her
D[nstall ne�v o�d Replace gutters
D Insta(I new or D Replace downspouts
Other related work being done: (please note)
Value of the job $ 7,581.84 {include fair market price for labor even ifyou are not paying for labor) 03/02
6'd £LO�-988-OZ6 6ui;oe�;uo���{y �tig:L 6 £L 8l d