HomeMy WebLinkAbout0095333-Building (roof) CITY OF OSHKOSH No 0095333
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1641 MINNESOTA ST Owner GENEVIEVE S ULRICH REV TRUST Create Date 06/21/2002
Designer Contractor WILLIAMS ROOFING & SIDING
Category 141 - Exterior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 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 SFRlfear off and replace existing roofing on house.* NO STRUCTURAL WORK.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,200.00 Plan Approval $0.00 Permit Fee Paid $40.00 Park Dedication $0.00
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Issued By: ! ( Li ��e »d, - Date 06/21/2002 Final /O.P. 00 /00 /0000
❑ P
Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signatur aj� c , Date Z1 — 2 /�U
Agent/Owner
Address 1146 CENTRAL ST OSHKOSH WI 54901 - 0000 Telephone Number 426 -2812
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 01 HKOf H
Fax: (920) 236 -5084
ON THE WATER
Roofing & Siding Permit Application
- • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds. check here
if you want this processed through your account n
JOB ADDRESS / 6 / / i ( ai ' e f o (c
OWNER J Q t11 A)7 ( 4 r t c
CONTRACTOR („ r T rio r t h S d rh
I am the: 0 Owner OR Contractor
, CATEGORY
114ingle Family ❑ Duplex ❑ Multi- Family ❑ Rental ❑ Commercial ❑ Industrial
Work being done:
ROOFING
K Tear off and replace existing roofing on Khouse, ❑ 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 0 (
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:
1) ❑ Electric — Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND ❑ Electric Installation Verification form is attached OR ❑ Separate Elect Permit will be requested.
2) ❑ Electric — Not Applicable because: ❑ J Blocks previously installed. ❑ No outside lights. ❑ Other
❑ Install new or ❑ Replace gutters
❑ Install new or ❑ Replace downspouts
Other related work being done: (please note)
Value of the job $ (include fair market price for labor even if you are not paying for labor) 03/02