HomeMy WebLinkAbout2002-Building (roof) � CITY OF OSHKOSH No ooss2s2
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1125 N MAIN ST Owner CYNTHIA VAUGHAN Create Date 07/31/2002
Designer Contractor DRIESSEN CARPENTRY
Category 141 -Exterior Remodeling Plan
Type � Building � Sign _� Canopy 0 Fence � Raze �
2oning Class of Const: Size
Unfinished/Basement 0 Sq.Ft. Rooms 0 Height 0 Ft. ❑ Projection
Finished/Living 0 Sq.Ft. Bedrooms 0 Stories Canopies 0
Garage 0 Sq.Ft. Baths 0 Signs 0
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Tear off and replace existing roof and wood decking on the house,due to old age. *NO STRUCTURAL WORK.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,175.00 Plan Approval $0.00 Permit Fee Paid $40.00 Park Dedication $0.00
Issued By: � Date 07/31/2002 Final/O.P. 00/00/0000
� Permit Voided�
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature � Date
AgenUOwner
Address 5070 COUNTY ROAD K OSHKOSH WI 54904 - 0000 Telephone Number (920)231-7145
� � .
City of Oshkosh �
Inspection Services Division �
P O Box 1130
Oshkosh,WI 54903-1130
Phone: (920)236-5050 '�
Fax: (920)236-5084 O.lHKOf H
Roofing & Siding Permit Application °"T"E WATER
' • 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 particiDatinQ in the Permit fee Account Svstem an�t have adequate funds check here
�you want this processed throuBh vour account n
JOB ADDRESS � `
`
OWNER
CONTRACTOR J
I am the: ❑ Owner OR �Contractor
USE CATEGORY
[�Single Family ❑Duplex O Multi-Family ❑Rental O Commercial ❑ Industrial
/ \
Work being done:
ROOFING
Tear off and replace existing roofing on�IJ house,�garage
i�
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 "�other�fC�(
/ �
SIDING
❑Install siding on ❑house, O garage
❑Replacing vinyl with vinyl
�Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to O 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 Conaactor)
AND �Electric Installation Verification form is attached OR �Separate Elect Permit w71 be requested.
2) ❑Electric—Not Applicable because: �J Blocks previously installed. �No outside lights. �Other
❑Install new or O Replace gutters
❑Install new or O Replace downspouts
Other related work being done: (please note) •
l �JC C�i
Value of the job $ �! / v (include fair market price for labor even if you are not paying for labor) 03/02