HomeMy WebLinkAbout0087675-Building (roof) 4 1.)-1/ CITY OF OSHKOSH No 0087675
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1111 MINNESOTA ST Owner JASON K / PATRICIA REID Create Date 07/17/2001
Designer Contractor RESTORATION CONTRACTORS OF AMERICA
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 & garage.* (NO STRUCTURAL WORK)
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $8,700.00 Plan Approval $0.00 Permit Fee Paid $60.00 Park Dedication $0.00
Issued By: r`----- Date 07/17/2001 Final /O.P.
❑ Permit Voided
In the performance of work I e to perform all work pursuant to rules governing the described construction.
Signature
�� � � Date �� ,X..?,/
Agent/Owner
Address 127 W MAIN ST OMRO WI 54963 - 0000 Telephone Number 920 - 685 -6939
07/17/2001 06:33 9206850122 RCA INC PAGE 03
Check all applicable box',3 3 and fill out as much information as'possible. Thank you.
1 Address of Propeily / // / 5cir .m
2 The Property is owned by . I T t► C�
3 I am the ❑ Owne ° OR I am theContractor
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- 4 The contractor do in :; the work is gar
5 This is a &inglee F':amily F.esidence, ❑ Rental, ❑ Commercial
6 Work being done:
ROOFING
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tar off and re ,a exit roofing on douse, garage
Replace wood ;I :; cking
❑ Add 1 layer of iv cfing to the existing layer(s) on ❑ house, ❑ garage
This work is being 'I one du ?, to ❑ Hail Damage 0 Other
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SIDING
❑ Install siding on ❑ house, ❑ garage • '
O Replacing vinyl 5,i th viny'
0 Replacing stee : r'aluminum (circle one) with vinyl
❑ Replacing with
This work is being 'lone du s to ❑ Hail Damage ❑ Other
When siding is done, on . cif the boxes below must be checked:
❑ Electric Elect'k Meter, receptacle, lighting and Electric Service entrance .
alterations /mod i l ications are being performed by
Electric Installation Verification form is attached (Name of Licensed Electric Contractor)
❑ Electric — not a I ll icable
O Install new or C1 F :eplace gutters
❑ Install new or C'I Replace downspouts
❑ Other Work done: I please note)
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Value of the job , �. ell �� (include fair market price for labor even if you are
not paying for labor)
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