HomeMy WebLinkAbout0122780-Building (roof)
e
OSHKOSH
ON THE WATER
Job Address 515 W NEVADA AVE
CITY OF OSHKOSH No 122780
BUILDING PERMIT - APPLICATION AND RECORD
Owner ELSIE J LAJCAK Create Date 12/04/2006
Desi~ner
Contractor STEVE WERNER BUILDERS LLC
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy o Fence o Raze
Class of Const: Size
Rooms Height Ft. o Projection I
-
Bedrooms Stories Canopies
Baths Signs
o Pier o Other
o Treated Wood
Zoning
Unfinished/Basement
Sq.Ft.
Sq. Ft.
Finished/Living
Garage Sq. Ft.
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
Occupancy Permit
Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature SFRTear off and replace roof on house.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
$0.00 Permit Fee Paid
$74.00 Park Dedication
$0.00
Fees: Valuation $7,300.00 Plan Approval
Issued By: (t/}'Y!/CJ
Date 12/04/2006
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1208690000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to s r an necess ry approvals before starting such activity.
Signature
Date
/2:-c; - 06
Address 4966 ISLAND VIEW DR
AgenUOwner
Oshkosh
WI 54901 - 0000
Telephone Number
231-1825
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.
Roofing & Siding Permit Application
~
OfHKOfH
ON THE WATER
City of Oshkosh
IDspection Services Division
POBox 1130
f') Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
· Application( s) and fee( s) can be brought to City Hall, Room 205 or mailed to fuspection Services, PO :Sox 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
Ifvou are a contractor varticipatinf! in the Permit fee Account System and have adequate funds. check here
if yOU want this processed through your account n
JOB ADDRESS fF Ir Nc u 4&Lf
OWNER 'Z{ 51e L t1 jc..;1-I,- '
"'"
CONTRACTOR Si<<~~'€ (vel jte/~ tlcf'(
I am the: 0 Owner OR 'li?'Contractor
'uS~-eATEGORY
m~ingle Family , 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
/"""'\ Work being ~one:
f 1 ROO~G ,
, ~ off and replace existing roofing on ~use, 0 garage
o Replace wood decking
o Add I layer of roofing to the existing
This work is being done due to 0 Hail Damage 0 Other
layer(s) on ,0 house, 0 garage
$
0' J Ii-j-e-
SIDING
o Install siding on 0 house, '0 garage
o Replacing vinyl with vinyl
o Replacing steel or aluminum with vinyl (circle ste~1 or aluminum)
o Replacing with
This work is being done due to 0 Hail Damage 0 Other
When siding is done, one of the boxes below must be checked:
,I) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance altetqtions/modifications are being performed
by ,
(Name of Lice used Electric Contractor)
AND 0 Electric Installation Verification form is attached OR
o Separate Elect Permit will be requested.
2) 0 Electric ~ Not Applicable because: 0 J Blocks previously installed. 0 No outside lights. 0 Other
(J
'VJ' /)
.~\\ rJY~1 & 0
\ IJ /}
lL
Value of the job $ i }}06 .~
, .
(include fair market price for labor even if you are not paying for labor)
03/02