HomeMy WebLinkAbout0158364-Building (roof) � CITY OF OSHKOSH No 158364
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1008 ELMWOOD AVE _ Create Date 10/21/2013
Project ROOFING 4 UNIT ______ Project Number 0
Owner ERIC J/ANN M ANDRES Plan
Contractor AFFORDABLE PROPERTY SERVICES
Inspector John Zarate
Designer
Category 041 -Residential Roofing _ ____ Type of Plan
Zoning R-5 Square Footage
Major Occ Const Class
Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design
Occupancy Permit Not Required Flood Piain Height Pe�mit Not Required
Park Dedication Not Required #Dweiling Units 0 #Structures 0
� Projection � Canopies Signs
Use/Nature
of Work
COMM(4 UNIT)/TEAR OFF AND REPLACE EXISTING ROOFING-NO STRUCTURAL CHANGES I
�I ; '
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,500.00 Plan Approval $0.00 Permit Fee Paid $72.00 Park Dedication $0.00
Issued By: ( L J ' '1� Date 10/21/2013 Final/O.P. 00/00/0000
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❑ Permit Voided ' Parcel Id#0503810000
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 ' formation.
Signature Date ��2/•—/�
Agent/Owner �
Address 2104 CAMELOT CT.#10 APPLETON WI 54915 - 0000 Telephone Number 920-205-0486
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,WI 54903-1130
Phone:(920)236-5050 O1HKOf H
Fax:(920)236-5084
Roofing & Siding Permit Application oN THE WATER
• 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�you are a contractor participating in the Permit fee Account Svstem and have adepuate funds check here
if vou want this processed throuQh vour account n
JOB ADDRESS �v � � �l/�+��'''��C
O�'NER �n t�-'f' � C=`n� /�7�''`'—�
CONTRACTOR � .�,� -c�.� .��./� � �,�
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I am the: ❑ Owner OR Contractor
USE CATEGORY
❑Single Family ❑Duplex �Iti-Family �Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
ear off and replace existing roofing on ouse,�garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to❑Hail Damage �Other��C
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 entrance alterations/modifications are being performed
by
(Name of Licensed Elecuic Contractor)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ��J Blocks previously installed. ❑No outside lights. ❑Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ �v v (include fair market price for labor even if you aze not paying for labor) 03/02