HomeMy WebLinkAbout2001-Building (roof) 0 1•• CITY OF OSHKOSH No 0086242
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1622 RIVER MILL RD Owner KENNETH /SANDRA J KOMASSA Create Date 05/22/2001
Designer Contractor PREMIER CONSTRUCTION, INC.
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. ❑ 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 roofing on house & garage due to hail damage.* (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: Jr'— Date 05/22/2001 Final /O.P.
❑ Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature / ■ Date l
Agent/Owner `
Address 1741 TY RD A NEENAH WI 54956 - 0000 Telephone Number 920 - 722 -5215
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property J t, Z krt,y
2 The Property is owned by k
3 I am the ❑ Owner OR I am thecK Contractor
4 The contractor doing the work is
5 This is a 4ingle Family Residence, ❑ Rental, ❑ Commercial
6 Work being done:
ROOFING
[aear off and replace existing roofing on0 house, rage
❑ Replace wood decking
❑ Add 1 layer of roofing to the existing layer(s) on ❑ house, ❑ garage
This work is being done due to VHail Damage ❑ Other
SIDING
❑ Install siding on ❑ house, ❑ garage
❑ Replacing vinyl with vinyl
❑ Replacing steel or aluminum (circle one) with vinyl
❑ 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 $ 91 (include fair market price for labor even if you are
not paying for labor)