HomeMy WebLinkAbout0103287-Building (roof)OSHKOSH
ON THE WATER
Job Address 547 W 15TH AVE
CITY OF OSHKOSH
Designer
BUILDING PERMIT - APPLICATION AND RECORD
Owner THOMASA KOCH Create Date
Contractor WERNER HOME IMPROVEMENT
No 103287
08/05/2003
Category 141 - Exterior Remodeling
Type · Building (~) Sign 0 Canopy (~ Fence
Zoning Class of Const:
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories
Garage 0 Sq. Ft. Baths 0
Plan
0 Ft.
Foundation · Poured Concrete (~) Floating Slab (~) Pier O Other
(~ Concrete Block (~ Post (~ Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Size
[] Projection
Canopies 0
Signs 0
Use/Nature ~FPJ Tear off and replace existing roofing and wood decking on the house and garage, due to old age. *NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
$5,700~00 Plan Approval
Plumbing Contractor
$0.00 Permit Fee Paid $45.00 Park Dedication $0.00
Date 08/05/2003 Final/O.P. 00/00/0000
[] Permit Voided
In the performance of_this work/l')agree to ~erform all work pursuant to rules goveming the described construction.
Signature4
~/'~/'~?///),~ /,zx,.,d.4 Date 8-,,~-O'~
~'-,""',,~_ ~ ! Agent/Owner
Address 2147 POINT COMFORT RD OSHKOSH Wi 54901 - 0000 Telephone Number 236-9109
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
Impection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
O/HKO/H
· 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
lf Fou are a contractor participating in the Permit fee Account System and have adequate funds, check here
if Fou want this processed through Four account ~
I am the: D Owner OR ~ontractor
USE CATEGORY
~le Family [] Duplex [] Multi-Family [] Rental
[] Commercial [] Industrial
Work being done:
TOearFING
off and replace existing roofing on ~}~ouse,~'~arage
~eplace wood decking 7~(. 05~ .~02-/,%
[] Add 1 layer of roofing to the existing
This work is being done due to [] Hail Damage
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
~er (~er(s) on [] house, [] garage
When siding is done, one of the boxes below must be checked:
1) El Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed ElecUSc Contractor)
AND 2 Electric Installation Verification f~rm is attached O_..~R ~ Sel~arate Elect Permit w~ be requested.
2) '[] Electric - Not Applicable because: 2 J Blocks previously installed. E No outside lights. [2 Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note)
7co
Value of the job $ , (include fair market price for labor even if you are not paying for labor) 03/02