HomeMy WebLinkAbout0158585-Building (roof) S
� CITY OF OSHKOSH No 158585 `
� �
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1585 S OAKWOOD RD Create Date 10/31/2013
4
Project REROOFING _ _ Project Number 0
Owner LIVING WATER LUTHERAN CHURCH OSHKOSH INC Plan
Contractor BROCKMANS ROOFING&SIDING,INC.
Inspector Nicole Krahn
Designer
Category 041 -Residential Roofing__ Type of Plan
Zoning R-1 Square Footage
Major Occ Const Class
Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design
Occupancy Permit __ Fiood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
� Projection I Canopies Signs
Use/Nature
of Work
COMM/reroofing church'�'LATE FEE ADDED FOR WORK DONE WITHOUT A PERMIT*"" -�
I
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HVAC Contractor Plumbing Contractor
—
Electric Contractor
Fees: Valuation $32,000.00 Plan Approval $0.00 Permit Fee Paid $404.00 Park Dedication $0.00
Issued By: -�-�t c Date 11/04/2013 Final/O.P. 00/00/0000
❑ Permit Voided!i Parcel Id# 1352500000
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 an nderstand the afor ment' ned information.
Signature Date ( 1Q
AgenUOwner
Address N3940 CONRAD ST. KAUKAUNA WI 54130 - Telephone Number 920-788-3271
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
Fax:(920)236-5084 O K H
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor narticipating in the Permit fee Account Svstem and have adeguate funds check here
tf vou want this nrocessed through vour account n
.roB ann�ss 1'1��_`�_��t�, Q �C��K,�,�1`. � Jr
OWNER I.,:�r �n� ���s' t � l_��t1�Pr-c�r C'1����c1��
CONTRACTOR �c�c k�,c�,�; (Zc��r�� a ���},�,�a,
I am the: ❑ Owner OR �Contractor
USE CATEGORY
❑Single Family �Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
Work being done:
ROOFING
�Tear off and replace existing roofing on❑house,�garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on�house,0 garage
This work is being done due to�Hail Damage ❑Other
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to❑Hail Damage ❑Other
When siding is done, one of the boxes below must be checked:
1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications aze being performed
by
(Name of Licensed Electric Conhactor)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. ❑Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job$������ (include fair market price for labor even if you are not paying for labor) 03/02