HomeMy WebLinkAbout0159775-Building (MOB1 flat roof) � CITY OF OSHKOSH No 159775
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 500 S OAKWOOD RD Create Date 03/14/2014
Project FLAT ROOFING Project Number 0
Owner MERCY MEDICAL CENTER OSH INC Plan
Contractor SECURITY-LUEBKE ROOFING INC
Inspector Nicole Krahn
Designer
Category 220-Alteration Hospitals&Institutions Type of Plan
Zoning C-1 PD Square Footage
Major Occ Const Class
Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design
Occupancy Permit Not Required Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
� Projection j Canopies Signs
Use/Nature
of Work
OMM/REPLACE M061 FLAT ROOF AT MERCY MEDICAL-SEE ATTACHED SCOPE OF WORK "check#15421
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $44,671.00 Plan Approval $0.00 Permit Fee Paid $247.50 Park Dedication $0.00
Issued By:�� Date 03/14/2014 Final/O.P. 00l00/0000
❑ Permit Voided j Parcel Id#0613660000
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 nece rovals before starting such activity.
I have read and understand e afore menti ed infor tio
Signature Date �
Agen Owner
Address 820 HYLANDAVE KAUKAUNA I 54130 - 1447 Telephone Number (920)766-7904
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 HK �1
Fax:(920)236-5084 �� !
Roofing & Siding Permit Application ON THF WATER
� Application(s)and fee(s) can be brought to City Hall, Room 205 ar 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 participatinQ in the Permit fee Account Svstem and have adeguate funds, check here
if vou want this processed through vour account n
JOB ADDRESS 500 S Oakwood Rd., Oshkosh WI 54905
OWNER Mercy Medical
CONTRACTOR Security-Luebke Roofing, Inc.
I am the: ❑ Owner OR � Contractor
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental �1 Commercial ❑Industrial
Work being done: ':
ROOFING
❑Teaz off and replace existing roofing on❑house,❑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 C�Other Fibertite Commercial Flat Roofing
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 0 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 Electric Contractor)
AND �l Electric Installation Verification form is attached OR r,Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: J Blocks previously installed. C 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 $ 44,671.00 (include fair market price for labor even if you are not paying for labor) 03/02
IS �I� I