HomeMy WebLinkAbout0094825-Building (roof)
G
OSHKOSH
ON THE WATER
Job Address 825 HARBORVIEW CT
CITY OF OSHKOSH No 0094825
~~ ~
BUILDING PERMIT - APPLICATION AND RECORD
Owner JEFFREY A1CHARL HUDSON Create Date 06/04/2002
Designer
Contractor OWNER
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
o Sq. Ft.
o Sq. Ft.
o Sq. Ft.
Rooms
o
Height
o Ft.
D Projection I
Unfinished/Basement
Finished/Living
Bedrooms 0
Stories
Canopies
o
Garage
Baths
o
Signs
o
Foundation . Poured Concrete 0 Floating Slab o Pier o Other
o Concrete Block o Post o Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature ISFRlTear off and replace existing roofing on house & garage due to hail damage: NO STRUCTURAL WORK
of Work
Plumbing Contractor
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
$4,000.00 Plan Approval
$0.00 Permit Fee Paid
$35.00 Park Dedication
$0.00
Date 06/04/2002
Final/O.P. 00/0010000
D Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature 0 tt a;( Qu".....o ~d....9~
Agent/Owner
Oshkosh
Date
&11!o~
'-/a & -9s(jg
Address
WI 54901 - 0000
Telephone Number
Roofing & Siding Permit Application
~
OfHKOfH
ON THE WATER
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~ · 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 permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor varticipatinf! in the Permit fee Account Svstem and have adequate funds. check here
if vou want this vrocessed through vour account n
JOB ADDRESS \s:' acs ~ \c:::c)~ l) \ 'e" ~
OWNER ~ e.(~ (~C'\ C~('~\l \-e ~\i2
~\-
\\-~S.O\)
CONTRACTOR
I am the:
~ Owner
OR
o Contractor
USE CATEGORY
.~ Single Family 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
Work being done:
ROOFING
9{ Tear off and replace existing roofing on)6 house, p( garage
o Replace wood decking
o Add 1 layer of roofing to the existing
This work is being done due to ~Hail Damage ~ Other
SIDING
layer(s) on 0 house, 0 garage
C~9-
y
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:
1) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed 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
Other related work being done: (please note)
Value of the job $
~ 0 O() . (;) C::>
(include fair market price for labor even if you are not paying for labor)
03/02