HomeMy WebLinkAbout0091383-Building (roof)
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OSHKOSH
ON THE WATER
Job Address 905 HARNEY AVE
CITY OF OSHKOSH
No 0091383
BUILDING PERMIT - APPLICATION AND RECORD
Owner STEVEN G 1 DORIS HERGERT REV TRUST Create Date 11/16/2001
Designer
Contractor ARMR INC
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy o Fence o Raze
Class of Const: Size
Rooms Height Ft. D Projection I
Bedrooms Stories Canopies
Baths Signs
Zoning
U nti n is hedlBasement
Sq.Ft.
Finished/Living
Sq. Ft.
Sq. Ft.
Garage
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 SFRI Tear off and replace existing roof and wood decking on house, due to hail damage. *NO STRUCTURAL WORK.
otWork
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
Issued By: J-<'\N\
$7,500.00 Plan Approval
$0.00 Permit Fee Paid
$55.00 Park Dedication
$0.00
Date 11/16/2001
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
Date
Address 689 NORTHWEST WAY
Agent/Owner
FOND DU LAC WI 54937 - 0000
Telephone Number 920-923-2459
"WIt:> ......'- u... u'"t~uc.:.p
LOCle t.:nf'or-cement
920 236-5084
fO. 1
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Check all applicable "boxes and fill out as much information as possible. Thank you.
1
Address of Property ~D5 ~ar~ ~-t, ) bs,~\~ I ~
The Property is owned by ~ fYf\~ ~ f~fft-
I am the 0 Owner OR I am ~contractor
The contractor doing the work is ~\\\R I j~\\\t f
This Is ay;! Single Family Residence, 0 Rentai, 0 Commercial
Work bei~; done:
2
3
4
5
6
ROOFING
~Tear off and replace existing roofing on'dhouse, 0 garage
~RePJace wood decking r
o Add 1 layer of roofing to the existing layer(s) on 0 house, 0 garage
This work is being done due t~ Hail Damage 0 Other
SIDING
o Install siding on 0 house, 0 garage
o Replacing vinyl with vinyl
o Replacing steel or aluminum (circle one) with vinyl
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 01 Licensed Electric Contractor)
o Electric - not applicable
o Install new or 0 Replace gutters
o Install new or 0 Replace downspouts
o Other work befng done: (please note)
Value of the job u.5oo . DO
not paying for labor)
(include fair market price for labor even if you are ~