HomeMy WebLinkAbout0087031-Building (roof) 1?‹.:D CITY OF OSHKOSH No 0087031
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1903 SIMPSON ST Owner ESTHER H BATHKE LIFE ESTATE Create Date 06/21/2001
Designer Contractor LAKEWOOD ROOFING
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 Not Required
Park Dedication Not Required # Dwelling Units 0 # Structures 0
Use /Nature SFR / TEAR OFF ON HOUSE ONLY AND RE -ROOF DUE TO HAIL DAMAGE
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,100.00 Plan Approval $0.00 Permit Fee Paid $35.00 Park Dedication $0.00
Issued By: Date 06/25/2001 Final /O.P.
❑ Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature °qU ^ „ 7C 7 . �-- Date / 1.570 1
_ Agent/Owner
Address P.O. BOX 15 WINNEBAGO WI 54985 - 0015 Telephone Number 235 -1955
JUN -21 -01 08:03 AM LAKEWOOD ROOFING, INC_ 920 235 3878 P_01
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property I .
2 The Property is owned by s - e
3 I am the ❑ Owner OR I am th6ontractor
4 The contractor doing the work is
5 This is a C-S ngle Family Residence, ❑ Rental, ❑ Commercial
6 Work being done:
ROOFING
O Tear off and replace existing roofing onuse, ❑ garage
❑ Replace wood decking
D Add 1 layer of roofing to the existing layer(s) on ❑ house, 0 garage
@'Na
This work is being done due to ti/ 'il Damage ❑ Other
SIDING
❑ Install siding on 0 house, ❑ garage
D Replacing vinyl with vinyl
D Replacing steel or aluminum with vinyl (circle steel or aluminum)
O Replacing with
This work is being done due to 0 Hail Damage 0 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 or Licensed Eleatic Contractor)
❑ Electric -- not applicable
O Install new or ❑ Replace gutters
O Install new or ❑ Replace downspouts
O Other work being done: (please note)
Value of the Job $ 3,0 0. d 0 (include fair market price for labor even if you are
not paying for labor)