HomeMy WebLinkAbout0086983-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 214 HUDSON AVE
CITY OF OSHKOSH No 0086983
BUILDING PERMIT - APPLICATION AND RECORD
Owner JEFFREY S PEERENBOOM Create Date 06/22/2001
Designer
Contractor SHOREVIEW ROOFING
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Height Ft.
o Projection I
Unfinished/Basement
Sq.Ft.
Sq. Ft.
Sq.Ft.
Rooms
Canopies
Finished/Living
Bedrooms
Stories
Garage
Baths
Signs
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit Not Required
Flood Plain
HeightPermit Not Required
Not Required
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature SFR / TEAR OFF ON HOUSE ONLY AND RE-ROOF
of Work
10;1
Plumbing Contractor
HV AC Contractor
Electric Contractor
Fees: Valuation $3,900.00 Plan Approval
Issued By: 5 m S
$0.00 Permit Fee Paid
$35.00 Park Dedication
$0.00
Date 06/22/2001
Final/O.P.
o Permit Voided I
In the performance of this work I agree to perfonn all work pursuant to rules governing the described construction.
Signature (),t,-lll..Ll. ~.\C \{-L.-
Date to '1 ,1_ . (j \
Address 1639 WHITE SWAN DR
Agent/Owner
Oshkosh WI 54901 - 0000
Telephone Number 235-1354
~ '~
pplicable boxes an~ fill out as much information as possible. Thank you.
1 Ad ress of Property a-- \ l\ ~...()Y\ .st. ~'i O~~ t .~c( ~ 0 {
2 Property is owned by ~)-L*+ ~e"creY\bDOyYJ
the 0 Owner
OR
I am the ~ Contractor
3
4
Th contractor doing the work is S ~Pl\f0eA f'l ~ \\ ~
Th s is a b('Single Family Residence, 0 Rental, 0 Commercial
5
6
OFING
ear off and replace existing roofing on~ouse, 0 garage
eplace wood decking
dd 1 layer of roofing to the existing layer(s) 011 0 house, 0 garage
Th s work is being done due to 0 Hail Damage 0 Other
51 ING
o nstall siding on 0 house, 0 garage
o eplacing vinyl with vinyl
o eplacing steel or aluminum (circle one) with vinyl
o eplacing with
T s work is being done due to 0 Hail Damage 0 Other
ng is done, one of the boxes below must be checked:
lectric - Electric Meter, receptacle, lighting and Electric Service entrance
Iterations/modifications are being performed by
lectric Installation Verification form is attached (Name of Licensed Electric Contractor)
o Electric - not applicable
o Install new or 0 Replace gutters
o Install new or 0 Replace downspouts
o Other work being done: (please note)
Value of he job $ 3 C) 00. aD
not payi g for labor) \
(include fair market price for labor even if you are