HomeMy WebLinkAbout0095668-Building (roof) CITY OF OSHKOSH No 0095668
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1726 MINNESOTA ST Owner DEBRA L HOUTS Create Date 07/05/2002
Designer Contractor OWNER
Category 141 - Exterior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I
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 SFR/Add 1 layer of roofing to existing 1 -layer on garage.* NO STRUCTURAL WORK
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $650.00 Plan Approval $0.00 Permit Fee Paid $20.00 Park Dedication $0.00
Issued By:/ Date 07/05/2002 Final /O.P. 00 /00 /0000
❑ Permit Voided
In the perform n of this work I agree to erform II work p rsuant to rules goveming the described construction.
Signature v.� C+. Date 1 ' j CID-
Agent/Owner {'�
Address Oshkosh WI 54901 - 0000 Telephone Number 3,����� �L�
City of Oshkosh
Inspection Services Division
P Box 1130 ��`
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236-5084 O1HKO/H
Roofing & Siding Permit Application ON THE WATER
• 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 permits) 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 ( R Y ' 1 (i(°1 Ir' sc . S4-
OWNER j ` k A
CONTRACTOR
I am the: Owner OR ,Contractor
USE CATEGORY
`1 Single Family ❑ Duplex ❑ Multi - Family ❑ Rental ❑ Commercial ❑ Industrial
Work being done:
ROOFING
❑ Tear off and replace existing roofing on ❑ house, ❑ garage
❑ Replace wood decking
K Add 1 layer of roofing to the existing C5YLt , layer(s) on ❑ house arage
This work is being done due to ❑ Hail Damage 'Other ) t V1 Ole rto V Vl6
SIDING r
❑ 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 $ 19 S0 (include fair market price for labor even if you are not paying for labor) 03/02