HomeMy WebLinkAbout0090853-Building (roof) •
eD CITY OF OSHKOSH No 0090853
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2102 MINERVA ST Owner BRIAN C PEPLINSKI Create Date 10/26/2001
Designer Contractor OWNER
Category 141 - Exterior Remodeling Plan
Type • Building O Sign O Canopy O 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 on house and attached garage, due to hail damage. *NO STRUCTURAL WORK.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $30.00 Park Dedication $0.00
Issued By: {c..IM Date 10/26/2001 Final /O.P.
❑ Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature - (y, 0 0 AA .rn .., p I #1,44; Date 10 p L0 / 6 I
Agent/Owner
Address 2102 MINERVA ST OSHKOSH WI 54901 - 1717 Telephone Number
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property a / 6472 fl C?A !Id
2 The Property is owned by I /LM O4G PLe-pitufftfLI
3 l4m the4Owner OR I am the ❑ Contractor
4 The contractor doing the work is -
5 This is a ('Single Family Residence, ❑ Rental, ❑ Commercial
6 Work being done:
ROOFING
Tear off and replace existing roofing on, houseAf garage
❑ 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:
❑ 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 $ (include fair market price for labor even if you are
not paying for labor)