HomeMy WebLinkAboutCommercialRoofingPermitApplication
Commercial Roofing Permit Application
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
www.oshkoshwi.gov
Project
Address
________________________________________________________________________________________
Applicant □ Owner □ Contractor
Owner /
Tenant
Name__________________________________________________ Phone___________________________
Address_____________________________________________ Email______________________________
Contractor Company Name__________________________________________ Phone____________________________
Contact__________________________________________________________________________________
Address__________________________________________________________________________________
Email___________________________________________________________________________________
Description
of Existing
Conditions
Type of existing roof covering:
□ Shingles □ Sheet Steel □ Slate □ Metal □ Gravel □ Other: ___________________________
Type of
Decking
□ Wood □ Metal □ Concrete □ Other: __________________________________________________
Total area of roof (in square feet): _________________ Number of existing layers: ________________
Slop of roof: □ Flat □ Sloped __________ in 12(pitch) Are there existing roof drains? □ Yes □ No
Description
of Proposed
Work
Types of work to be performed: (check all that apply)
□ Repair Only (Patch of Flash) □ Removal of existing roof □ Gravel
□ New Shingles □ Built-up (attach manuf. Installation specs)
□ Resaturate or coatings (attach manuf. Installation specs)
□ New Sheet Roofing
U.L. Classification __________________________ Product Identification __________________________
Manufacture: __________________________________________________________________________
Type and Thickness of insulation: ___________________________________________________________
Type of base sheets, number of plies, and method of application:__________________________________
______________________________________________________________________________________
Type of cap sheet and method of application: __________________________________________________
Type and quantify of surfacing materials: _____________________________________________________
Weight of roofing material being installed _______________ in pounds per square ft.
Will insulation be installed as part of this roofing project? □ Yes □ No
Is a thermal barrier being installed? □ Yes □ No
If yes specify type and thickness ______________________________________________________________
Value of
Job
$_______________ (Value for materials & labor is req. to ensure consistency in accessing permit fees for all applicants.)
Payment by: □ Check #____________ □ Cash □ Credit/Debit Card
I certify the above information is complete and accurate. Any deviations from the above submitted information may require ad ditional permits to be
obtained. I acknowledge and agree to these terms.
Name: ________________________________________________________________ Date: _______________________ (print name)
Signature: __________________________________________________________