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HomeMy WebLinkAbout0100083-Building (roof/windows)OSHKOSH ON THE WATER Job Address 1027 DOVE ST Designer CITY OF OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD Owner HEATH J VAN GYSEL Contractor OWNER Category 141 - Exterior Remodeling Type · Building O Sign O Canopy O Fence O Raze No 0100083 Create Date 03/05/2003 Plan 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 (~) Floating Slab O Pier C) Other (~) Concrete Block (~ Post (~ Treated Wood Occupancy Permit Not Required Flood Plain __ Height Permit Park Dedication # Dwelling Units 0 # Structures Size [] Projection Canopies Signs Use/Nature =,ENTAL/LATE PERMIT/Tear off and replace existing roof on the house, due to old age. Replaced 4 windows (front, bedroom, kitchen of Work and closet) with the same size and location windows. *NO STRUCTURAL WORK. Late fee waived. HVAC Contractor Electric Contractor Fees: Valuation Issued By: ~ Plumbing Contractor $2,000.00 Plan Approval $0.00 Permit Fee Paid $25.00 Park Dedication $0.00 Date 03/05/2003 Final/O.P. 00/00/0000 [] Permit Voided In the perfom)ance of this v~.or~ I agree to perform ail w~ pursuant to rules governing the described construction. Signature~,.~ ....... . ..~,,~/_~_., ........ ;;,;;'/ Z.."~.--~..~/'d-~"cJ Date C:.~ ~,'.'-~" Ag~-~tJOwn er Address 110 RIDGEWAY HEIGHTS MANAWA WI 54949 - 0000 Telephone Number 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 ON THE W.&TER · 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 fund~, check here if you want this processed through your account [-] JOB ADDRESS /~'~ 2 owN .a coNT c oa I am the: ~er OR [] Contractor USE CATEGORY [] Single Family [] Duplex [] Multi-Family ~ental [] Commercial [] Industrial Work being done: ROOFING ' ~Tear off and replace existing roofing on ~ouse, [] garage [] Replace wood decking [] Add 1 layer of roofing to the existing This work is being done due to [] Hail Damage i~ther 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 When siding is done, one of the boxes below muSi 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 f~rm is attached O___~R [] Sel~arate Elect Permit w~ be requested. 2) [] Electric - Not Applicable because: E J Blocks previouslY installed. E No outside lights. [] Other [] Install new or [] Replace gutters [] Install new or [] Replace downspouts Other related work being done: (please note) '~...~/',,v~~-~ Value of the job $ cP-~OO ~ GC o~ (include fair market price for labor even if you are not paying for labor) 03/02