HomeMy WebLinkAbout0082955-Building (roof) I CITY OF OSHKOSH No 0082955
OSHKOSH BUILDING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1294 WHEATFIELD WAY Owner KAREN I. JEWELL -VAN BUSKIRK Create Date 10/31/2000
Designer Contractor LAKEWOOD ROOFING
Category 141 Exterior Remodeling Plan
Type Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning Class of Const:
Size
Unfinished /Basement Sq. Ft. Rooms Height Ft. 0 Projection
Finished/Living Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation 0 Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Flood Plain Height Permit
Park Dedication Dwelling Units 0 Structures 0
Use /Nature SFR/ LATE PERMIT/ Removing existing roofing, installing new roofing (hail damage)(NO STRUCTURAL WORK).
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,250.00 Plan Approval $0.00 Permit Fee Paid $40.00 Park Dedication $0.00
Issued By: SN\ S Date 11/16/2000 Final /O.P.
0 Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
aa
Signature
Date 1 1/ 1 0 0
Agent/Owner 1
Address P.O. BOX 15 WINNEBAGO WI 54985 0015 Telephone Number 235 -1955
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property FIR
2 The Property is owned by Q
3 I am the Owner OR I am the contractor
4 The contractor doing the work is a-V—e- "ce--! 42 ae
5 This is ale Family Residence, Rental, Commercial
6 Work being done:
ROOFING
Tear off and replace existing roofing on,,e'Vouse, E g rage
Replace wood decking
Add 1 layer of roofing to the existing layer(s) on house, garage
This work is being done due to 0"Flail Damage Other
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:
Electric Electric Meter, receptacle, lighting and Electric Service entrance
alterations /modifications are being performed by
Electric Installation Verification form is attached (Name of Licensed Electric Contractor)
Electric not applicable
Install new or Replace gutters
Install new or Replace downspouts
Other work being done: (please note)
Value of the job L Z S ,Q 0 (include fair market price for labor even if you are
not paying for labor)