HomeMy WebLinkAbout0158189-Building (roof & siding) � CITY OF OSHKOSH No 158189
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OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 527 BOWEN ST Owner JOHN A COLLINS/JESSICA M VANLAARHOVEN Create Date 10/10/2013
Designer Contractor XACT RESTORATION AND REMODELING
Inspector Andrew Prickett
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-2 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
0 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 house and garage due to hail damage. Installing siding on house. Replacing vinyl with
of Work i inyl. Electric not applicable due to J blocks previously installed. No structural changes.
I
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HVAC Contractor Plumbing Contractor
Electric Contractor '
Fees: Valuation $9,000.00 Plan Approval $0.00 Permit Fee Paid $93.00 Park Dedication $0.00
Issued By: � Date 10/10/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1101610000
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 "thority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permi pl�tio�within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure efore starting such activity.
I have read and underst�n he a ntioned information.
Signature � Date
AgenUOwner
Address 2905 UNIVERSAL DR STE LL6 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 performed within two business days from the time the project is ready.
City of Oshkosh �
Inspection Services Division
P O Box 1130 �
Oshkosh,WI54903-1130
Phone: (920)236-5050
Fax:(920)236-5084 Of HKO.IH
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
�vou are a contractor participatinQ in the Permit fee Account Svstem and have adeauate funds check here
if vou want this processed throu�vour account n
JOB ADDRESS �Or / (X7(.t ��
OV�'NER V� 1� (�� � I 1� S
CONTRACTOR �(�wC ]` �S ,
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I am the: ❑ Owner OR �Contractor
/�E CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
Tear off and replace existing roofing on�house,0 garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to I��Iail Damage ❑Other
SIDING
�Install siding on �ouse, ❑garage
J�Replacing vinyl with vinyl
i �
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing widi
This work is being done due to�Hail Damage ❑Other
When siding is done, one of the boxes below must be checked:
1) ❑ElecVic—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Elechic Contractor)
AND ❑Electric Installation Verification form is attached OR ❑Sepazate Elect Permit will be requested.
2) �Electric—Not Applicable because: ,2fj J Blocl:s previously installed. G No outside lights. C Other
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❑Install new or O Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job����.� (include fair market price for labor even if you are not paying for labor) 03/02 �