HomeMy WebLinkAbout0104053-Building (roof)OSHKOSH
ON THE WATER
.lob Address 145 W 24TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner BETHANY UN CHURCH OF CHRIST
Contractor OWNER
Category 141 - Exterior Remodeling
No 104053
Create Date 09/09/2003
Plan
Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. ~J Projection
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies
Garage 0 Sq. Ft. Baths 0 Signs
Foundation O Poured Concrete (~) Floating Slab (~) Pier (~) Other
(~) Concrete Block (~) Post (~) Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature Church/Tear off and replace existing roofing on a portion of the church.* NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$4,000.00 Plan Approval $0.00 Permit Fee Paid
$35.00 Park Dedication $0.00
Date 09/09/2003 Final/O.P. 00/00/0000
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
OSHKOSH
ON THE WATER
,lob Address 145 W 24TH AVE
Designer
Category 141 - Exterior Remodeling
Type O Building ~ Sign
Zoning
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner BETHANY UN CHURCH OF CHRIST
Contractor OWNER
No 104053
Create Date 09/09/2003
Plan
(~) Canopy C) Fence O Raze j
Class of Const: Size
Unfinished/Basement 0 Sq. Ft.
Finished/Living 0 Sq. Ft.
Garage 0 Sq. Ft.
Foundation O Poured Concrete (~ Floating Slab
(~ Concrete Block O Post
Occupancy Permit Not Required
Park Dedication
Rooms 0 Height 0 Ft. [] Projection
Bedrooms 0 Stories Canopies
Baths 0 Signs
(~ Pier (~ Other
C) Treated Wood
Flood Plain Height Permit
# Dwelling Units 0 # Structures 0
Use/Nature Church/Tear off and replace existing roofing on a portion of the church.* NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
$4,000.00 Plan Approval
Plumbing Contractor
$0.00 Permit Fee Paid $35.00 Park Dedication $0.00
Date 09/09/2003 FinallO.P. 00/00/0000
[] Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Osh~ h~ no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this per/f~it ap~cetion wi~ ~h easement, the City streng]y urges the permit applicant to contac'[ the easement
holder(s) and to s(~t;ur~ny neces, s/.lfJy j~l~rovals before starting such activity. /
Signature ~t~,_~, _//~,~/~.,~.~-~ Date
- I- - - Agent/Owner / '/
Address Oshkosh WI 54901 - 0000 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
· O/HKO/H
· 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 you are a contractor participating in the Permit fee Account System and have adequate funds, check here
it'you want this processed through your account
CONTRACTOR ~.~
I am the: [] Owner
USE CATEGORY
[] Single Family Fl Duplex
OR []Contractor
[] Multi-Family [] Rental ~ommercial
[] Industrial
Work being done:
ROOFING
~l~Tear off and replace existing roofing on [] house, [] garage ~-~t t~ f~a) O'-~ ~4'~- 9 ~LOP.~~
[] Replace wood decking
[] Add I layer of roofing to the existing layer(s) on [] house, [~ garage
This work is being done due to [] Hail Damage ~er .~-~9~ / ~[~ _~.L~,.) ~'''
SIDING
[] Install siding on [] house, [] garage
[] Replacing vinyl with vinyl
[] Replacing steel or aluminum with vinyl (circle steel or aluminum)
[] Replacing with
This work is being done due to [] Hail Damage [] Other
When siding is done, one of the boxes below must be checked:
1) [] Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by.
(Name o f Licensed Elec~fic Contractor)
AND [~ Electric Installation Verification f~rm is attached OR. B SeI~amte Elect Permit wa be requested.
2) [] Electric - Not Applicable because: [3 J Blocks previously installed. E No outside lights. [3 Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note)
Value of the jOb $ ~E~r-~/& ,(7)
(include fair market price for labor even if you are not paying for labor) 03/02