HomeMy WebLinkAbout0158146-Building (roof) � CITY OF OSHKOSH No 158146
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1628 MENOMINEE DR Owner TERRY B OBERLIES ETAL Create Date 10/08/2013
Designer Contractor XACT RESTORATION AND REMODELING
Inspector Nicole Krahn
Category 041 -Residential Roofing Pian
Type � Building � Sign 0 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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature ISFR/Re-roofing the house and garage(complete tear off-No structural work).
of Work �
�I I
— -- -- --J
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $7,200.00 Plan Approval $0.00 Permit Fee Paid $86.00 Park Dedication $0.00
issued By: '� �' Date 10/08/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id# 1512710000
In the performance of this work 1 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 a isat wi in a asement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure necess � va before starting such activity.
I have read and understand en' ed information.
Signature Dat Q�
gen virner
Address 2905 UNIVE OSHKOSH WI 54904 - 0000 Telephone Number (920)915-6798
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 Of HK01H
F�:(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
Irvou are a contractor participatinQ in the Permit fee Account System and have adeguate funds check here
i�vou want this nrocessed through vour account n
JOB ADDRESS 1(p���►�J(,�����
OV1'NER
CONTRACTOR C ' �
I am the: ❑ Owner OR �,Contractor
jJSE CATEGORY
�I.Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done: :
ROOFING
�Teaz off and replace existing roofing on�house,�gazage
❑Replace wood decking
�Add I layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to�Hail Damage ,�'Other�E
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) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service enVance alterations/modifications are being performed
by
(Nan�e of Licensed Electiic Contrector)
AND ❑Electric Installation Verification form is attached OR �Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: C J Blocks previously installed. ❑No outside lights. �Other
❑Install new or O Replace gutters
❑Install new or�Replace downspouts
Other related work being done: (please note)
Value of the job $ �/��Q�.�, (indude fair market price for labor even if you are not paying for labor) 03/02