HomeMy WebLinkAbout0086275-Building (roof) a CITY OF OSHKOSH No 0086275
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2401 MINERVA ST Owner ROGER A/KAREN A NOVOTNY Create Date 05/23/2001
Designer Contractor OWNER
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 due to hail damage.* (NO STRUCTURAL WORK)
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $25.00 Park Dedication $0.00
Issued By: fur Date 05/23/2001 Final /O.P.
❑ Permit Voided
In the performs ce of this work I agree to perform all work pursuant to rules governing the described construction.
Signature 1 i____ in/,_...-- Date Q
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property
c2q01 OShkc? ti, X11
v o f SY 40 /
2 The Property is owned by Rnr og Karat. I V D VD y
3 I am the ''Owner 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
ifiTear off and replace existing roofing onthouse, ❑ garage
❑ Replace wood decking
❑ Add 1 layer of roofing to the existing layer(s) on ❑ house, ❑ garage
This work is being done due to Jf'Hail 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 0 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 $ 1 a 00. 00 (include fair market price for labor even if you are
not paying for labor)