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HomeMy WebLinkAbout0091349-Building (roof) CITY OF OSHKOSH No 0091349 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 635 W 11TH AVE Owner BRIAN P /HEATHER OATES Create Date 11/15/2001 Designer Contractor LAKEWOOD ROOFING Category 141 - Exterior Remodeling Plan Type • Building 0 Si 0 Canopy 0 Fence 0 Raze Zoning Class of Const: Size Unfinished /Basement Sq. Ft. Rooms Height Ft. ❑ Projection Finished /Living Sq. Ft. Bedrooms Stories Canopies Garage Sq. Ft. Baths Signs 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 hail damage. *NO STRUCTURAL WORK. of Work HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $9,350.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00 Issued By: `I YY1 Date 11/15/2001 Final /O.P. ❑ Permit Voided In the performance of this work I agree to perform all work pur�to rules governing the described construction. Signature 3 Q •� Date \ 1 (S /01 Agent/Owner / 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 G • k \ 2 The Property is owned by \ -o \ L ..f ' 0 0 3 I am the ❑ Owner OR I am th&Contractor 4 The contractor doing the work is ( a ktk-Jc cd mac+ T 5 This is Family Residence, ❑ Rental, ❑ Commercial 6 Work being done: . ROOFING "'far off and replace existing roofing 04=R—house, ❑ garage replace wood decking ❑ Add 1 layer of roofing to the existing layer(s) on ❑ house, ❑ garage This work is being done due t Hail Damage ❑ Other SIDING ❑ Install siding on ❑ house, ❑ garage O Replacing vinyl with vinyl ❑ Replacing steel or aluminum with vinyl (circle steel or aluminum) ❑ Replacing with This work is being done due to 0 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) O Electric — not applicable ❑ Install new or ❑ Replace gutters ❑ Install new or ❑ Replace downspouts ❑ Other work being done: (please note) Value of the job 9 3- 0 0 (include fair market price for labor even if you are not paying for labor)