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HomeMy WebLinkAbout2001-Builidng (roof) (� CITY OF OSHKOSH No 00902T5 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 604 OTTER AVE Owner CHARLES/CHERYL PAWLOSKY Create Date 10/08/2001 Designer Contractor SHOREVIEW ROOFING Category 141 -Exterior Remodeling Plan Type � Building � Sign � Canopy _ � Fence___ � Raze ', Zoning Class of Const: Size Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection 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 Flood Plain Height Permit Park Dedication #Owelling Units 0 #Structures 0 Use/Nature FR/Tear off and replace existing roof on house. 'NO STRUCTURAL WORK. of Work HVAC Contractor Plumbing Contractor , Electric Contractor Fees: Valuation $4,400.00 Plan Approval $0.00 Permit Fee Paid $40.00 Park Dedication $0.00 Issued By: �m Date 10/08/2001 Final/O.P. � Permit Voided In the performance of this work I agree to perform all work p�suant to rules governing the described construction. Signature ������1 Date l� / AgenUOwner Address 1639 WHITE SWAN DR Oshkosh WI 54901 - 0000 Telephone Number 235-1354 � Check aH applicable boxes and fill out as much informatian as possibie. Thar� you. , 1 Address of Property �� . w G`��� 2 The Property is owned by � � 3 ! am the � Owner OR I am the � Contractor 4 The contractor doin�g the work is s� �,� l,l ) 5 This is a �.Singie Family Residence, ❑ Reo��al, ❑ Comrnescia! � 6 Work being done: ROOFING ,�Tear off and r�pface existing rcrofng on � hQuse. � g�rage O R�place wood decking Ll Add 1 I�yer of raofing #o t��e existing lay�r(�) an !� house, � �rag�e This wark is being done d�a� �.o � Hail D�ma�� � Other SinING C.� Instal! siding or, C] ho�s�, C7 garage ❑ Repiacing vinyl with vinyl L7 Replaci�g steel or alurr�in�m with vinyl (�i�c1e steel c�r ai�minum) �7 Replacing vwith T�is wark i� being �l�ne due ta � Hail aarnag� Q t�ther,__ Whe�t sic�irtg is don�, one �f the boxes beiow rnust be check�d: � Efectr�c— Electric Meter, re�ept�cl�, 9ighting and Electr°s� Ser�ri;� entr nc� altera#ior�slrnodificatior�s ar�; beircg �erformed by Ele�tri� installatior� `Jerifc�tion forrn is attached �r'��° .i°��'� E��c ..on a or O Electric-- not applic�ble Cl Insta(I new or ❑ Replace g�tters C! I�stall new or O Rep{ace downspou�s � Other work being done: �piease note) walue of t�e job �, `7,� ��D (includ� fair market price for labor even if oU are , not paying for labor)