HomeMy WebLinkAbout0124940-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 310 E LINCOLN AVE
CITY OF OSHKOSH No 124940
BUILDING PERMIT - APPLICATION AND RECORD
Owner PAULETTE L BERGQUIST Create Date OS/23/2007
Designer
Contractor OWNER
Category
141 _ Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement
Sq.Ft.
Sq. Ft.
Rooms
Height
Ft.
o Projection I
Finished/Living
Bedrooms
Stories
Canopies
Garage
Sq.Ft.
Baths
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit
Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
UselNature SFR / Tear off and replace roof on garage.
of Work
HVAC Contractor
Plumbing Contractor
Electric Contractor
$350.00 Plan Approval
~
$25.00 Park Dedication
$0.00
Fees: Valuation
$0.00 Permit Fee Paid
Issued By:
Date OS/23/2007
FinaIlO.P. 00100/0000
o Permit Voided I
Parcelld # 1003010000
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 secure any necessary approvals before starting such activity.
Signature If cudffi J 13 (/t~
/ ' Agent/Owner
Date
5ld3)ol
Address 310 E LINCOLN AVE
OSHKOSH
WI 54901 - 4523
Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
~
OJHKOfH
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 pennit(s) will result in fees being doubled or $100,00 plus the
normal pennit fee, which ever is greater.
OR
I .ou are a contractor artici atin in the Permit ee Account S stem and have ade check here
ifvou want this processed throUf!'h vour account rJ
JOB ADDRESS 3 J U ~ L I.IU.JJ I ruv/\Ir
OWNER PCLu/,jf" Lf, Il~;fjutj . ..
CONTRACTOR r IUS Ir, ~ (Juts iG <:. (' fJ101 ro 0 i
I am the:
,B1 Owner
OR
o Contractor
USE CATEGORY
~ingle Family . 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
Work being done:
. .
ROOFING
~ar off and replace existing roofing on 0 house, ~arage
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) onO house, 0 garage
SIDING
o Install siding on 0 house, . 0 garage
o Replacing vinyl with vinyl
o Replacing steel or aluminum with vinyl (circle ste~l 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:
. 1) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance altera.tionslmodifications 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
o Install new or 0 Replace gutters
o Install new or 0 Replace downspouts
Ott{~
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Other related work being done: (please note)
Value of the job $
(15'{)
(include fair market price for labor even if you are not paying for labor)
03/02