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HomeMy WebLinkAbout0096588-Building (roof)/~",~ CITY OF OSHKOSH No oosssss OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1435 KENSINGTON AVE Owner. LOUIS SCHRIBER Create Date 08/13/2002 Designer Contractor OWNER Category 141 -Exterior Remodeling Plan Type ~ Building Q Sign (~ Canopy (~ Fence ~ Raze 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 0 Garage 0 Sq. Ft. Baths ' 0 Signs 0 Foundation ~ Poured Concrete (~ Floating Slab 0 Pier ~ Q Other Concrete Block 0 Post ~ Treated. Wood Occupancy Permit Not Required Flood Plain I Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use/Nature of Work existing roof on garage, due to hail damage Z£ old age. HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid _ Issued By: ^ Permit Voided $35.00 Park Dedication $0.00 Date 08/13/2002 Final/O.P.00/00/0000 In the performance of this work I agree to perform all fwo__rk pursuant to rules governing the described construction. Signatu~ ~ ~,Ta'y}, /~~~ ~' ~, n r-f b,~i+~' Date .- AgenUOwner Address 1435 KENSINGTON AVE OSHKOSH WI 54902 - 6246 Telephone NumberC~~O=a~~~~~ City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 O.IHK Fax: (920) 236-5084 ON THE WATER Roofing & Siding Permit Application • 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 vour account (~ JOB 5 OWNER ~d y l S ' i (' ~ ~~ ~° 2 Y' [(Ll~/~!1 ~ ~ ~ t5l D l ~j J`"(-'~j GL°2. CONTRACTOR ~ ~ l~ ~~ ~ I am the: 181 Owner OR ~ Contractor USE CATEGORY Single Family ^ Duplex ^Mu1ti-Family) ^ Rental ^ Commercial ^ Industrial Work being done: ROOFING ' G~c~ 1~ Tear off and replace existing roofing on hous~garage ^ Replace wood decking ^ Add 1 layer of roofing to the existing layer(s)/on ^ house, ^ garage This work is being done due to~Hail Damage Other (~ 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 of Licensed Electric Contractor) AND ^ Electric Installation Verification form is attached OR ^ Separate Elect Permit will be requested. 2) ^ Electric -Not Applicable because: ^ J Blocks previously installed. ^ No outside lights. ^ Other ^ Install new or ^ Replace gutters ^ Install new or ^ Replace downspouts Other related work being done: (please note) ' -~ Value of the job $ ~ ~) (include fair market price for labor even if you are not paying for labor) 03!02 T'.