HomeMy WebLinkAbout0085856-Building (roof)
~
~- G
OSHKOSH
ON THE WATER
Job Address 1717 HICKORY ST
CITY OF OSHKOSH
No 0085856
BUILDING PERMIT - APPLICATION AND RECORD
Owner ROBERT A STEINHILBER
Create Date 05/08/2001
Designer
Contractor LAKEWOOD ROOFING
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Sq.Ft.
Sq.Ft.
Sq.Ft.
Rooms
Height
Ft.
D Projection I
Unfinished/Basement
Finished/Living
Bedrooms
Stories
Canopies
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
Height Permit Not Required
Park Dedication
Not Required
# Dwelling Units
o
# Structures
o
Use/Nature ~FR / TEAR OFF ON HOUSE AND GARAGE AND RE-ROOF DUE TO HAIL DAMAGE
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valua~n "^ $3,750.00
Issued By: ~ S
Plan Approval
$0.00 Permit Fee Paid
$35.00 Park Dedication
$0.00
Date 05/09/2001
Final/O.P.
D Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
()~9.- l3~~.
Date
S-;o,/O(
Address
P.O. BOX 15
AgenUOwner
WINNEBAGO WI 54985 - 0015
Telephone Number
235-1955
r MAY-08-01 08:39 AM LAKEWOOD ROOFING, INC.
920 235 3878
P.02
':
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property l'\. \'1 t'\{' ~r t S- --\ r ~e..k
2 The Property is owned by (3 ob 5 + ~ i f' h', \ b <.r"
3 I am the D Owner OR I am the..E. Contractor
4 The contractor doing the work is l.....\,...(..w~ f<-o JI.~ 1: ('\.<...
5 This Is a ld-'Single Family Residence, 0 Rental, 0 Commercial
6 Work being done:
ROOFING
~Tear off aridreptace-e-xisting Foofing on- ~olJsa,~rage
o Replac~ wood decking
a Add 1 layer of roofing to the existing layer(s) on 0 house, 0 garage
This work is being done due to .J::d-flail Damage 0 Other
SIDING
o Install siding on 0 house, 0 garage
o Replacing vinyl with vinyl
o Replacing staet or aluminum with vinyl (circle steel or aluminum)
Cl Replacing with
This work is being done due to 0 Hail Damage 0 Other
When siding is done, one of the boxes befow must be checked:
o Electric - Electric Meter ~ receptacle. lighting and Electric Servics entrance
alterations/modifications are being performed by
Electric Installation Verification form is attached (Name 01 L.lcensed EloclrlC; COl'llrll4;!or)
o Electric - not applicable
o Install new or Cl Replace gutters
o Install new or 0 Replace downspouts
o Other work being done: (please note)
r
Value of thejob $ 3{15 c>. 0 D
not paying for labor)
(include fair market price for labor even If you are