HomeMy WebLinkAbout0096745-Building (roof)
e
OSHKOSH
ON THE WATER
Job Address 537 MADISON ST
CITY OF OSHKOSH No 0096745
BUILDING PERMIT - APPLICATION AND RECORD
Owner WALTER T BROWN JR Create Date 08/20/2002
Designer
Contractor LAKEWOOD ROOFING
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
o Sq.Ft.
o Sq.Ft.
o Sq. Ft.
Rooms
o
Height 0 Ft.
D Projection I
Unfinished/Basement
Finished/Living
Bedrooms
o
Stories
Canopies
o
Signs
o
Garage
Baths
o
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Not Required
Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature SFRI Tear off and replace existing roof and wood decking on the house and garage, due to hail damage. "NO STRUCTURAL WORK.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
Issued By: ~ VV\
$5,650.00 Plan Approval
$0.00 Permit Fee Paid
$45.00 Park Dedication
$0.00
Date 08/20/2002
Final/O.P. DO/DO/DODO
D Permit Voided I
In the perfo nce of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date Q /LC/ (j
7 I
Address
P.O. BOX 15
WINNEBAGO
WI 54985 - 0015
Telephone Number
235-1955
. '"
Check al./ applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property S 3 '1 M. ~s:()('\
2 The Property is owned by ~~\ -\.-~r- ~rC::\",^, '" ...
3 I am the 0 Owner OR I am the ~ontractor
4 The contractor doing the work is Lo..~ Wo ~ I?.o~? rf'C...
5 This is amngle Family Residence, 0 Rental, 0 Commercial
6
Work being done:
..
ROOFING
~. ... e~ar . ff arid .rePla. ce existing roofing on~e, ~ge
~place wood decking
o Add 1 layer of roofing to the existing layer(s) on 0 house, 0 garage
This work Is being done due to ~l Damage 0 Other
SIDING
o Install siding on 0 house, 0 garage
o Replacing vinyl with vinyl
o Replacing steel or aluminum with vinyl (circle steel 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:
o EI~ctrlc - Electric Meter, receptacle, lighting and Electric Service entrance
alteratic;>ns/moolfic~tions are being performed by
Electric Installation Verification form is attached (Name 01 Licensed Electric Contractor)
o Electric - not applicable
o Install new or 0 Replace gutters
o Install new or 0 Replace downspouts
o Om~r. work being done: (please note)
Value of thejob ~ .f~ (..5'0 :9 (i) . \~(lclude fair market price for labor even if you are
not paying for labor) .