HomeMy WebLinkAbout0097953-Building (roof) e l CITY OF OSHKOSH No 0097953
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1404 INDIGO DR Owner ALICE SIEBENHAAR Create Date 10/11/2002
Designer Contractor HICKEY ROOFING
Category 141 - Exterior Remodeling Plan
Type • Building O Sign O Canopy O 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 MOBILE HOME/ Tear off and replace existing roof on the house. *NO STRUCTURAL WORK.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,800.00 Plan Approval $0.00 Permit Fee Paid $25.00 Park Dedication $0.00
Issued By: .Kl'' Date 10/11/2002 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 3030 SHOREWOOD DR OSHKOSH WI 54901 - 0000 Telephone Number 426 -4008
City olOsbkosh
lampecdoa Services Division
PO Box 1130
Oshkosh, WI 54903 -1130
Pau (9 0)2 '0 0712 _Nan
Roofing & Siding Permit Application,
• Apptiwtioe(s) and fee(s) can be brought to City Hall, Room 205 ar mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903.1125. Commencing work without permit(s) will result in fees being doubled or 5100.00 plus the
normal permit See, which ever is greater.
OR
if roe layout tdl/ proceeted tbraash voar accoast , 610\A (0110(07_ Pk C k.'
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c o m et 1O It l 1
I am Nee: 0 Owner OIL
)(Contractor
CATEGORY
sioie)rererliy , D Doplee D Multi- Pamily O Renter 0 Commercial D hedetstriel
Work Wog dense:
ROOFING
,JTar offend rtplaa existing rooting otj,house. 0 gaga
o Replete wood decking
D Add l layer of roofing to the misting layer(s) on 0 hotter, 0 pima
This work is being does due to O Hail Damage D Other
SIDING
O lawn tiding on D house, D garage
0 Replacing vinyl with vinyl
• 0 Replacing steel or alomimem with vinyl (circle-steel or aluminum)
0 Repko** with
This wok is being date due to D Hail Denis. 0 Other ,
Vibe, siding r done, sae of tie boxes below Hearst be checked:
1) 0 Bleebie — Bitbtbtg Bla mic Meter, receptacle, liehthhg and Electric Service entrance altaretioaahaodilloetiotts an Wog performed
bY
mem unhand hand tiMraic G.hear)
AND 0 Shark Installation V erificaion t5rm is attached Off , 0 &lim c Elect pernot wrl be regaestei
2) 0 Marie — Not Applicable becawe 1 Blocks previously inaelkd. 0 No outside lights. O Other
D last 11 newer 0 Replace $vncrs
0 Wien new ar 0 Replace downspouts
Other related work betlw$ done: (please note)
Vele* Of the job $ 1 CO v • 0?) - (include fair market price for labor even if yea are not paying for labor) 03/02