HomeMy WebLinkAbout0091248-Building (roof)
~
OSHKOSH
ON THE WATER
Job Address 834 HARMEL AVE
CITY OF OSHKOSH
No 0091248
BUILDING PERMIT - APPLICATION AND RECORD
Owner LORRAINE M EBERLE
Create Date 11/12/2001
Designer
Contractor VALLEY ROOFING
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.
Sq.Ft.
Rooms
Height Ft.
D Projection I
Canopies
Finished/Living
Bedrooms
Stories
Garage
Baths
Signs
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 SFR/ Tear off and replace existing roof on house and attached garage, due to hail damage. .NO STRUCTURAL WORK.
of Work
Plumbing Contractor
HV AC Contractor
Electric Contractor
Fees: Valuation
Issued By: \(YV\
$5,586.60 Plan Approval
$0.00 Permit Fee Paid
$45.00 Park Dedication
$0.00
Date 11/12/2001
Final/O.P.
D Permit Voided I
Signature
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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0( rc./U!U~'
Date 11- /;{ - 0 I
Address 834 HARMEL AVE
Agent/Owner
OSHKOSH
WI 54901 - 6746
Telephone Number
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Check all applicable boxes and fill out as much information as possible. Thank you.
1
Address of Property
if. :; 'I 110 t/' WI e~/
At/v
E6~ ('Ice.-
2
The Property is owned by L oJllII- 6.1' t1 .p
3 I am the ~ Owner OR I am the D Contractor
4 The contractor doing the work is JJec/le,'l I)/<) otlho
,J 1
5 This is a IXI Single Family Residence, D Rental, 0 Commercial
6 Work being done:
ROOFING
~ Tear off and replace existing roofing on ~ house, ~ garage
D Replace wood decking
D Add 1 layer of roofing to the existing layer(s) on D house, D garage
This work is being done due to 131 Hail Damage D Other
SIDING
D Install siding on D house, D garage
D Replacing vinyl with vinyl
D Replacing steel or aluminum with vinyl (circle steel or aluminum)
D Replacing with
Thi's work is being done due to D Hail Damage D Other
When siding is done, one of the boxes below must be checked:
D 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)
D Electric - not applicable
D Install new or D Replace gutters
D Install new or D Replace downspouts
D Other work being done: (please note)
Value of the job ~ /( j Sit # k 0
not paying for labor)
(include fair market price for labor even if you are