HomeMy WebLinkAbout0102931-Building (roof) OSH
Job Address
rage
of Work
CITY OF OSHKOSH No 0102931
BUILDINGPERMIT zAPPEfCA~rlON~AN'D/~E~-O~i~-b
141 - Exterior Remodeling
Building ~ Sign
0 Sq. Ft.
0 Sq. Ft.
0 Sq, Ft.
J~HN R~AR~EF~ Create date 07/1§/2003
Contractor OWNER
? Canopy ~ Fence C) Raze
Class of Const:
Rooms 0 Height 0 Ft,
Bedrooms 0 Stories
B~ths 0
Plan
Size
~ =ier ~ Other
[] Projection
Canopies 0
Signs 0
· Poured Concrete ~ ~loati~g Sl~b
~- Concrete Block
Height Permit
# Dwelling 0~it~ 0 # Structures'
SFRJTear offand repl~fce ~xisting roofing on house du~'t0 ~ld age. 'NO STRUCTURA[-WORK
Electric contractor
Plumbing Contractor
$3.500.00 Plan Approval $0.00 Permit Fee Pai'd $35,00 Park Dedication $0.00
Da~e 07/18/20~3 Final/O.p. 00/00/00~0~
, ~[~ Permit ¥o.!ded
m [ne performance of thi&work I agr~-'~,to perform all work pursuant to rules governing the described construction.
Sigaature /~"~,~/ ~'~)~ Date
~ ~en~ner
Address 1006 CEAPE AVE OSHKOSH WI ~901 - 5420 ~el~h~
ity 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
lf vou are a contractor participating' in the Permit fee .4ccount System and have adequate funds, check here
if you want this processed through Four account ~]
JOB ADDRESS ] V ~' ~ ~ ~,& ('D ~'
owNeR o
CONTRACTOR ~ ~ ~
I am the: ~O~er OR ~ Con,actor
USE CATEGORY
~ingle Family [] Duplex
[] Multi-Family [] Rental [] Commercial
[]Indus~ial
Work being done:
ROOFING
J~2"Tear offand replace existing roofing on Et~ouse, [] garage
[] Replace wood decking
[] Add 1 layer of roofing to the existing
This work is being done due to [] Hail Damage
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
layer(s) on [] house, [] garage
l~f?Other .A ('' I[:::~'-'
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 Electric ConWactor)
AND [5 Electric Installation Verification f~rm is attached O._~R [3 Separate Elect Permit wm be requested.
2) [] Electric - Not Applicable because: [3 J Blocks previously installed. I3 No outside lights. [2 Other
[] Install new or. ffi"~place gutters
[] Install new or l~Replace downspouts
Other related work being done: (please note)
job $ ~_~,~'~ .e~,..-~ ~-,.~ ~'~ ~' °'~ /O~'. Ot."~,-{include~' fair market price for labor even if you are not paying for labor) 03/02
Value
of
the