HomeMy WebLinkAbout0149565-Building (roof) �
� CITY OF OSHKOSH o 149565
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! OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD �+21�2
ON THE WATER 0�,�
JobAddress 1010 EASTMAN ST Owner ACCU PROPERTIES LLC Create Date 03/21/2012
Designer _ Contractor FOUR SEASONS CONSTRUCTION
Inspector John Zarate
Category * 141 -Exterior Remodeling Plan
Type � Building � Sign � Canopy � Fence � Raze
Zoning Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
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 Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0 :
Use/Nature FR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND DETACHED GARAGE,NO STRUCTURAL CHANGES
of Work i'check#16141
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Pertnit Fee Paid $39.00 Park Dedication $0.00
Issued By: � Date 03/21/2012 Final/O.P. 00/00/0000
❑ Permit Voided � Parcel Id# 1002680000
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 un rstand the afore mentioned information.
Signature��;__%� Date 3
AgenUOwner
Address N10076 NEWTON LAKE RD CRIVITZ WI 54114 - 0000 Telephone Number 715-927-0056
* 141-Euterior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500-113 on the DNR
Asbestos Program website;http://dnr.wi.gov/air/compenf/asbestos/.For additional information on hazards present in buildings see
the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf
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 O HK�
Faa�:(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
If vou are a contractor articipating in the Permit fee Account Svstem and have adeguate funds check here
if vou want this processed throu�h vour account I-1
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OWNER Gv�—���L' �i'�Q, ��/'
CONTRACTOR �d-S'� cc�S�,-L� . S✓i�-t-�G.�.S' �UT���'� -�A`vb, .
I am the: ❑ Owner OR �Contractor
USE CATEGORY
❑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 1 layer of rooYing to the existing layer(s)on❑house,❑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 �vith
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 pertormed
by
(Name of Licensed Electric Contractor)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: G J Blocks previously installed. G No outside lights. �Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
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Value of the job $ _,� 0��• (include fair market price for labor even if you aze not paying for labor) 03/02 .
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