HomeMy WebLinkAbout0090912-Building (roof) CITY OF OSHKOSH No 0090912
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 112 W 12TH AVE Owner NEELY H BERGER Create Date 10/29/2001
Designer Contractor SW CONSTRUCTION OF THE VALLEY LLC
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 & decking on house due to hail damage.* (NO STRUCTURAL WORK)
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $7,600.00 Plan Approval $0.00 Permit Fee Paid $55.00 Park Dedication $0.00
Issued By: v" Date 10/29/2001 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 /6/21
Agent/Owner
Address 817 GROVE ST OSHKOSH WI 54901 - 0000 Telephone Number 920 - 232 -9986
Check all applicable boxes and fill out as much information as possible. Thank you.
/-11 lr�
1 Address of Property I/ 2 /A)
l 2
2 The Property is owned by
3 I am the ❑ Owner OR I am the IX Contractor
4 The contractor doing the work is 9i Cd- �sF^�� �� c A``` "�(` t �
5 This is a Single Family Residence, ❑ Rental, ❑ Commercial
6 Work being done:
ROOFING
�1 Tear off and replace existing roofing on Ig house, ❑ garage
Cir 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 $ 76 °° (include fair market price for labor even if you are
not paying for labor)