HomeMy WebLinkAbout0151998-Building (roof) S
� CITY OF OSHKOSH No 151998 �
�. . ;
OSH�OSH BUILDING PERMIT -APPLICATION AND RECORD 3
ON THE WATER
Job Address 1421 1423 MARICOPA DR Owner HARRY/LORRAINE HARTMANN Create Date 08/24/2012
Designer Contractor TRADEMARK RESTORATION INC
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy Q 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 �
i
{
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 DUPLEX/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE AND INSTALL NEW
of Work UTTERS DUE TO HAIL DAMAGE,NO STRUCTURAL CHANGES ""debit acct =
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $9,631.48 Plan Approval $0.00 Permit Fee Paid $88.00 Park Dedication $0.00
Issued By: ���,J Date 08/28/2012 Final/O.P. 00/00/0000
❑ Permit Voided � Parcel Id# 1315060000
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 activiry.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address 2405 LATHERS RD BELOIT WI 53718 - 6790 Telephone Number (800)293-0221 EXT
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.
.
.Ciry of Oshkosh 4
Ir�specuon Services Division � $
P O Sox 1130 �
Oshkosh, WI 54903-�130
Phone_(920)236-SOSO
Fax:(920)236-5084 K H
Roofing & Siding Permit Application ON THF VIATFR =
• Applicado�a(s)and fee(s)can be brought to City Hall, lzoom 20S ox txAa��ed to Inspecuo� Services,�O�ox 1128,
Oshkosh WI 54903-1128. Commencing work without pernc�it(s)will result ir�;fees being doubled or$140.00 plus�he
nortnal permit fee,which e�ver is geatec. $
OR
�fvou are a contractnr r,n li�palr�t� ia the Aermet f�e Ac�punt Svstem and have adeq au te fundc check here
i,�y,Qu w,gr�� lhis procg,ssec� throulth YQur pccQt�nt ❑
JOR AAAR�SS l y��c��-r�l'�ci 1��. �5�'1�5�'1 ��� �'��/�l��
OWNER �
CON1`Rr1,CTOR
X ann tbe: ❑ Owner OR I� Contractor
USE CATEGORX
�Single�amily �Duplex �Muhi-Family ❑ltental O Commercial ❑Industrial
Work being done:
�too�[rrc
�7ear off and repl�existing roofu�g on'�housc,�3 garage Ol'�'}AC-��C.p
❑Roplace wood dedcin,g
❑Add I Itp^cr of roofin,g to the existing layeir(s)on❑house,�garage
This work is being done due to�CHail Daraage 0 Otl�et
SIbY1VG
O Install siding on O house, �garage
❑Replaciutg vi�ryl with vi►�yl �
O Rcplaoi�g steel or alunainuna with virryl(circle steel or aluminum) �
CI Rcplacing with
This work is being�n�duc to Cl Ha�l Damage 0 Od�ec
VY6en siding is done,ome o;f tbe bm�es below must be checked:
1) 0�)ecpric—Existing Electr�ic Meter,reccptac�c,lighting and Elcctric Service entrauce altera�tions/modifications are being performcd
by
(�u�oFlicrosrd Elceurc Conrac�or)
� L]Elecvic Installation Vcrification form is attachcd Q$ ,Sc�arate Eleel Pe[mit will be�equested.
2) �EItC[t'It--Not Applicablo because: Cl!Blocks prcviously installed. i1 No outside 1igh�s, ri Q�er
��nstall zeew or 6T ReplaoC gulters
❑Install ncw or❑Rcpfaoe downspouts
Other related work bei�ag dome: (please note)
Value of the job$ �T.(0 3 !, �/� (include fair market price for la�or cven iFyou are not paying for(abor) 03/02
Received Time Aug, 24. 2012 11 : 23AM No. 0589