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HomeMy WebLinkAbout0088731-Building (roof) cD OSHKOSH ON THE WATER Job Address 923 BISMARCK AVE CITY OF OSHKOSH No 0088731 BUILDING PERMIT - APPLICATION AND RECORD Owner CHARLES J / KIM DANULA TRUST Create Date 08/27/2001 Designer Contractor INSIDE OUT CONSTRUCTION Category 141 - Exterior Remodeling Plan Type . Building o Sign o Canopy o Fence o Raze Class of Const: Size Rooms Height Ft. D Projection j - - Bedrooms Stories Canopies - Baths Signs - Zoning Sq.Ft. Sq.Ft. Unfinished/Basement Finished/Living Garage Sq.Ft. 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 Park Dedication # Dwelling Units o # Structures o Use/Nature SFRlTear off and replace existing roofing & decking on house due to hail damage: (NO STRUCTURAL WORK) of Work HV AC Contractor Plumbing Contractor Electric Contractor Fees: Valuation Issued By: ~ $5,375.00 Plan Approval $0.00 Permit Fee Paid $45.00 Park Dedication $0.00 Date 08/27/2001 Final/O.P. D Permit Voided I In the performance of this work I agree to pe:;Z.orm a!1. rk pursuant to rules governing the described construction. ~ - / ~ Signature _____----'--: 2.--.z----:;::::7 ~~~_._- . AgenUOwner Date~27rd/) Address 928 BISMARCK OSHKOSH WI 54902 - 0000 Telephone Number 920-426-9562 .- /... Check all applicable boxes and fill out as much information as possible. Thank you. 1 Address of Property C\:;} ~ \), ~ s lY\(.\. C' G\<" \\ ~ 2 The Property is owned by (~o- r \ 0 / ~ \\ ~{\.\.>..... \ C\. 3 I am the 0 Owner OR I am th~Contractor 4 The contractor doing the work is ~ {'\.~;"'O >Q C) u~ (,t> \l\~tr \.;\c..t,~ (,r0 5 This is a::8-single Family Residence, 0 Rental, 0 Commercial 6 Work being done: ROOFING ~ear off and replace existing roofing on ~house, 0 garage '~Replace wood decking ~ f ~ / f) lit o Add 1 layer of roofing to the existing layer(s) on 0 house, 0 garage This work is being done due t~ail Damage 0 Other J;JD!N&. 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 Electric - Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed by Electric I nstallation Verification form is attached (Name of Licensed Electnc Contractor) o Electric - not applicable o Install new or 0 Replace gutters o I nstall new or 0 Replace downspouts o Other work being done: (please note) Value of the job lS S ?::; '\ S ~ (include fair market price for labor even if you are not paying for labor)