HomeMy WebLinkAbout2002-Building (roof)
OSHKOSH
ON THE WATER
Job Address 1175 MARICOPA DR
Designer
Owner BRADLEY S/JENNI LLOYD
Contractor OWNER
No 0094434
Create Date 05/14/2002
Category 141 -Exterior Remodeling Plan
Type ~ Building ~ 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 ~ Pier
Concrete Block (~ Post ~ Treated Wood
Occupancy Permit Not Required Flood Plain
Park Dedication # Dwelling Units
Use/Nature
of Work
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Q Other
Height Permit
0 # Structures 0
e existing roof and wood decking (if necessary) on house and garage, due to old age.
ng will be doing the work.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $9,000.00 Plan Approval $0.00 Permit Fee Paid _
Issued By: ~~
^ Permit Voided
$60.00 Park Dedication $0.00
Date 05/17/2002 Final/O.P. 00/00/0000
in the performance of this work I agree to perform all work pursuant to rules governing the described construction.
.,
Signature ~~~ ~ ~-tom
Address 1175 MARICOPA DR
Agent/Owner
OSHKOSH
Date S
WI 54904 - 8118 Telephone Number 233-5472
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084 O HKO.IH
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
f you are a contractor narticinatinQ in the Permit fee Account System and have adequate funds check here
If you want this processed through your account n
JOB ADDRESS ~ ~ ~ / `~.%9/C ~ GC~ f
OWNER_ ~ :t`G.l G~ ~~ ~ C~'I !~ , ~~ ~ ~ o `~ C1
CONTRACTOR rCIG'~ I~ /1o C ~ ~i~ c~ ~+ !l a~
I am the: Owner OR ^ Contractor
USE CATEGORY
single Family ^ Duplex ^Minti-Family ^ Rental ^ Commercial ^ Industrial
Work being done:
ROOFING
Fear off and replace existing roofing on douse, ^ arage
Replace wood decking ~ `j Q ~~Lxj
^ Add 1 layer of roofing to the existing ~J layer(s) on ^ house, ^ garage
This work is being done due to ^ Hail DamageOther ~ l2i~ta~ l.Jr~
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 wt71 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