HomeMy WebLinkAbout0102907-Building (roof) CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1350 W 5TH AVE Owner TERRY E MOE Create Date
Designer Contractor OWNER
Category 141 - Exterior Remodeling Plan
Type · Building (~ Sign O Canopy (~) Fence (~ Raze
No 0102907
07/17/2003
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. [] Projection
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies
Garage 0 Sq. Ft. Baths 0 Signs
Foundation · Poured Concrete ~) Floating Slab (~ Pier ~) Other
~) Concrete Block O Post (~ Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature SFPJAdd 1 layer of roofing to the existing 1 -layer on the house & garage.* NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
$1,000.00 Plan Approval
Plumbing Contractor
$0.00 Permit Fee Paid $25.00 Park Dedication $0.00
Date 07/17/2003 Final/O.P. 00/00/0000
[] Permit Voided ~
In the performance of '[his work I agree t~ perform al]. work pursuant to rules governing the described construction.
Address /~. "~/'/.~ ..~ ~-~ Oshkosh WI 54901- 0000 Telephone Number
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
O/HKO/H
ON THE WATER
· 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
if you want this processed through Four account ~-]
JOB ADDRESS //SEb ~-~-~'~
I am the:
wner OR
[] Duplex
D bon dor '.../
[] Multi-Family [] Rental
x~E CATEGORY
ingle Family
Work being done:
ROOFING
[] Tear offand replace existing roofing on [] house, [] garage
[] Replace wood decking
' i ad 1 layer of roofing to the existing
work is being done due tu ~raail Damage [] Other
SIDING
vi 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 dune due to [] Hail Damage [] Other
[]Commercial []Industrial
l~a~ye ) on~ ho~s~garage
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 of Licensed Elee~c Contrac~r)
AND [3 Electric Installation Verification f~rm is attached O~R E Separate Elect Permit wm be requested.
2) [] Electric - Not Applicable because: E J Blocks previously installed. 13 No outside lights. [3 Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note)
Vallle of the job $ /~). ~(~) (include fair market price for labor even ifyou are not paying for labor) 03/02