HomeMy WebLinkAbout0095207-Building (roofing) 0 CITY Of OS`IKOSH No 0095207
OSHKOSH BUILDING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1919 WINCHESTER AVE Owner DEBRA JEAN HOEFT Create Date 06/18/2002
Designer Contractor BORCHARDT CONSTRUCTION LTD
Category 141 Exterior Remodeling Plan
Type 0 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 roofing on house garage.* NO STRUCTURAL WORK.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,100.00 Plan Approval $0.00 Permit Fee Paid $40.00 Park Dedication $0.00
Issued By: Date 06/18/2002 Final /O.P. 00 /00 /0000
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 1558 W 9TH AVE OSHKOSH WI 54902 0000 Telephone Number 231 -8619
City of Oshkosh
Inspection Services Division
P
el l)
O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 OfHKO.f H
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 permits) 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 throu2h your account n
JOB ADDRESS 1 JAi \Q YS /cr X(J
OWNER 17) r O e l'
CONTRACTOR IrC/11 di '1 e c c Y
I am the: Owner OR Contractor
ATEGORY
Single Family Duplex Multi- Family Rental Commercial Industrial
Work being done:
ROOFING
T ear off and replace existing roofing on ouse, age
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
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 4 7
ob V
J (include fair market price for labor even if you are not paying for labor) 03/02