HomeMy WebLinkAbout0094278-Building (roof) e ol CITY OF OSHKOSH No 0094278
OSHKOSH BUILDING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 744 W 11TH AVE Owner JEFFREY T RUCK Create Date 05/13/2002
Designer Contractor OWNER
Category 141 Exterior Remodeling Plan
Type Building 0 Sign 0 Canopy 0 Fence 0 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 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication Dwelling Units 0 Structures 0
Use /Nature SFR/ Tear off and replace existing roof and wood decking on house, due to old age. *NO STRUCTURAL WORK.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,800.00 Plan Approval $0.00 Permit Fee Paid $40.00 Park Dedication $0.00
Issued By: PM Date 05/13/2002 Final /O.P. 00 /00 /0000
Permit Voided
In the performance of this work I agree to p orm all work pursuant to rules governing the described construction.
Signature 7 Pl_ Date R /0 al
Agent/Owner
Address 744 W 11TH AVE OSHKOSH WI 54902 6312 Telephone Number
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 O./HKO /H
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 your account r]
JOB
ADDRESS
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OWNER �/ail 4 /en /M C#
CONTRACTOR
I am the: i itt O wner OR Contractor
USE CATEGORY
Single Family Duplex Multi- Family Rental Commercial Industrial
Work being done:
ROOFING
%Tear off and replace existing roofing onhi 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 O! r kar
SIDING J
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 fike (include fair market price for labor even if you are not paying for labor) 03/02