HomeMy WebLinkAbout0103009 B CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3084 LAKE REST LN Owner B MICHAEL SAMMONS ETAL
Designer Contractor ACCURATE ROOFING
Category 141 - Exterior Remodeling
Type · Building (~) Sign (~ Canopy (~ Fence (~ Raze
Zoning Class of Const:
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft.
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories
Garage 0 Sq. Ft. Baths 0
Foundation · Poured Concrete (~ F~oating Slab (~) Pier (~ Other
(~) Concrete Block (~ Post (~ Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures
No 103009
Create Date 07/23/2003
Plan
Size
[] Projection
Canopies
Signs
0
Use/Nature
of Work
~FR/Tear off and replace existing roofing on the house, due to old age. *NO STRUCTURAL WORK.
1
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:~J~
$2,500.00 Plan Approval
Plumbing Contractor
$0.00 Permit Fee Paid $30.00 Park Dedication $0.00
Date 07/23/2003 Final/O.P. 00/00/0000
[] Permit Voided
Sign at u re ~/.,~ "~ ~,,~In the perfor~;nce of this work I agr, e~ to ee~rm all work pursuant to rules goveming the described construction.~,/~_.~ Date //~/~ ~
I ~ Agent/Owner
Address 1011 KANSAS ST OSHKOSH WI 54902 - 0000 Telephone Number 303-1897
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
if you want this processed through your account [-]
JO~ADOm~SS
OWNER
co~x~cxoR
I am the: [] Owner OR ~l~:Contractor
[] Duplex
[]Commercial []Industrial
.~ CATEGORY
gle Family [] Multi-Family [] Rental
Work being done:
ROOFING
Tear offand replace existing roofing on'house, [] garage
[]Replace wood decking
[]Add I layer of roofing to the existing
This work is being done due to [] Hail Damage [] Other
SIDING
[] Install siding on [] house, [] garage
[] Replacing vinyl with vinyl
Fl 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
When siding is done, one of the boxes below must be checked:
1 ) [] Electhc - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name o f Licensed Electric ConV~actor)
AND [] Electric Installation Verification f~rm is attached O._.~R [] Sel~arate Elect Permit wffl be requested.
2) [] Electric - Not Applicable because: [3 J Blocks previously installed. [] No outside lights. El Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note).
Value of the jOb $ 'Z-~>-'c~ · o6 (include fairmerketpriceforlaborevenifyouarenotpayingforlabor) 03/02