HomeMy WebLinkAbout0099249-Building (roof)OSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
827 GRAND ST
141 - Exterior Remodeling
CITY OF ~0SRKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner M F LAWRFNCF FTAL
Contractor PAUL KOWALSKE ROOFING
~1~ Building 0 Sign 0 Canopy 0 Fence 0 Raze
No 0099249
Create Date 12/31/2002
Plan
Zoning Class of Const:
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft.
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories
Garage 0 Sq. Ft. Baths 0
Foundation O Poured Concrete 0 Floating Slab 0 Pier 0 Other
(~ Concrete Block (~ Post (~ Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures
of USe/Naturework ISFR/Tear off and replace existing roofing & decking on house.* NO STRUCTURAL WORK.
I
Size
[] Projection J
Canopies 0
Signs 0
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
Plumbing Contractor
$9,400.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided ]
$65.00 Park Dedication $0.00
Date 12/31/2002 FinallO.P. 00/00/0000
In the performance*ef4his work I agree to perform all work pursuant to rules governing the described construction.
Signature '7~ ~ Date
Agent/Owner
Address 626 W 9TH AVE Oshkosh WI 54902 - 0000 Telephone Number
920-233-4695
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
O/HKO/H
ON THE 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 you are a contractor participating in the Permit fee Account System and have adequate £und~, check here
if you want this processed through your account ['~
JOB ADDRESS
OWneR i3'1
I am the:
USE CATEGORY
/~ingle Family [] Duplex [] Multi-Family
Work being done:
ROOFING
~ear off and replace existing roofing on~ouse, [] garage
eplace wood decking / '
[] Add 1 layer of roofing to the existing
This work is being done due to [] Hail Damage [] Other
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
[] Rental [] Commercial [] Industrial
layer(s) on [] house, [] garage
When siding is done, one of the boxes below mus~ be checked:
1) [] Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND ~ Electric Installation Verification f~rm is attached O_._~R B Sel~arate Elect Permit wffi be requested.
2) [] Electric - Not Applicable because: B J Blocks previously installed. [] No outside lights. ~ Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note)
Value of the job $
(include fair market price for labor even if you are not paying for labor)
03/02