HomeMy WebLinkAbout2009-Building (fence) City of Oshkosh
Inspection Services Division
PO Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 O/I IKOJH
Fax: (920) 236 -5084
Roofing & Siding Permit Application ON THE WATER
• 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 (l
JOB ADDRESS 3 t 41.eA
OWNER c_tL
CONTRACTOR
I am the: ,Owner OR ❑ Contractor
USE CATEGORY
Single Family ❑ Duplex ❑ Multi - Family ❑ Rental ❑ Commercial ❑ Industrial
Work being done:
ROOFING
�f Tear off and replace existing roofing on I house, ❑ 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 It. c 0 S C(y".
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 $ S Obn (include fair market price for labor even if you are not paying for labor) 03/02