HomeMy WebLinkAbout0087673-Building (roof) a CITY OF OSHKOSH No 0087673
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1823 SIMPSON ST Owner DONALD V TETZLAFF JR 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 on house & garage.* (NO STRUCTURAL WORK)
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,400.00 Plan Approval $0.00 Permit Fee Paid $40.00 Park Dedication $0.00
Issued By: f✓' Date 07/17/2001 Final /O.P.
❑ Permit Voided
In the performance of thi rk I agree to perform all work pursuant to rules governing the described construction.
Signature . .,,. --- -1 Date j /77f. )j
Agent/Owner
Address 127 W MAIN ST OMRO WI 54963 - 0000 Telephone Number 920 - 685 -6939
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07/17/2001 06:23 9206850122 RCA INC PAGE 02/02
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" Check all applicable boxes i3nd fill out as much Information aspossible. Thank you.
1 Address of Propert:,,1 1/f�.? S ;n n 5 J -
2 The Property is ov,n :god by /, lams
3 I am the ❑ Owner . OR 1 am theontractor
4 The contractor do Fr the work is /&24
5 This is agSingle I';3mily Residence, ❑ Rental, ❑ Commercial
6 Work being done:
ROOFING
bear off and re :: ce sxi<.ting roofing on Pa`tiouse, z garage
❑ Replace wood ': i:cking
❑ Add 1 layer of rt;cifing to the existing layer(s) on ❑ house, ❑ garage
This work is beinc.:lone dui to 0 Hail Damage 0 Other
SIDING
❑ Install siding or ❑ hot. se, 0 garage
❑ Replacing vinyl A ith vin) l
❑ Replacing steel : :r aluminum (circle one) with vinyl
❑ Replacing with
This work is beins clone dL e to 0 Hail Damage ❑ Other _
When siding is done, or r)f the toxes below must be checked:
❑ Electric — Electric:: Meter, receptacle; lighting and Electric Service entrance -
alterationsfma:1ification : are being performed by
Electric Install. i ii:in Vert ication form is attached ame o enn on acto
❑ Electric — not <iy:;[)}ieablE
.. ❑ Install new or Replace gutters -
❑ Installnew or I Replace downspouts
❑ Other work be i+ i ±l done: (please note)
Value of the job $ 5 t (include fair market price for labor even if you are
not paying for labor)
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