HomeMy WebLinkAbout0094216-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 1339 BISMARCK AVE
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CITY OF OSHKOSH
No 0094216
BUILDING PERMIT - APPLICATION AND RECORD
Owner SHIRLEY A ZUMSTEIN
Create Date 04/19/2002
Designer
Contractor BILL BERNIER
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement
o Sq.Ft.
o Sq.Ft.
o Sq.Ft.
Rooms
o
Height 0 Ft.
o Projection I
Canopies
o
Finished/Living
Bedrooms
o
Stories
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
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature FRI Tear off and replace existing roofing on house. 'NO STRUCTURAL WORK. Brian J Bernier is doing the work.
of Work
Plumbing Contractor
HV AC Contractor
Electric Contractor
Fees: Valuation
Issued BY:I.r'
$2,800.00 Plan Approval
$0.00 Permit Fee Paid
$130.00 Park Dedication
$0.00
Date 05/09/2002
Final/D.P. 00/00/0000
o Permit Voided I
In the performance of t~is work I agree to perform all work pursuant to rules governing the described construction.
Signature 'W It ,~~ ~~Q ^ 1\(\ l"t( A } Date
Agent/Owner
Address 4982 LEONARD POINT RD
OSHKOSH
WI 54904 - 9352
Telephone Number
235-5662
... ..
Check all applicable boxes and fill out as much information as possible. Thank you.
1
Address of Property 1331 (J/{,""r k ~
The Property is owned by 5 h/r lei
I am the 0 Owner OR I am the i<J Contractor *' L( / fi JD l-
The contractor doing the work is flp".,/ s: /p';lr><-. /' 1\0 S~.tJ d
This is a p Single Family Residence, 0 Rental, 0 Commercial li cil~
Work being done:
2
3
4
5
ROOFING
%,1- ear off and replace existing roofing on ~house, 0 garage
o Replace 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 0 Hail Damage p1 Other ~f d-
..~$ \~
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6
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 Electric - Electric Meter, receptacle, lighting and Electric Service entrance
alterations/modifications are being performed by .
Electric Installation Verification form is attached (Name of Licensed Electnc 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)
l. I
Value of the job $ ~JtJtJ. ~
not paying for labor)
(include fair market price for labor even if you are