HomeMy WebLinkAbout0100561-Building (roof) SHKOSH
ON THE WATER
.lob .Address 424 AN N EX AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner EDWARD B CLEMENTS
Contractor HICKEY ROOFING
Category 141 - Exterior Remodeling
No 0100561
Create Date 04/01/2003
Plan
Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. ~J Projection
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies
Garage 0 Sq. Ft. Baths 0 Signs
Foundation O Poured Concrete (~) Floating Slab (~) Pier (~) Other
(~) Concrete Block (~) Post (~) 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 roof on the house. *NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$1,900.00 Plan Approval $0.00 Permit Fee Paid
$25.00 Park Dedication $0.00
Date 04/01/2003 Final/O.P. 00/00/0000
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1427 BROAD ST OSHKOSH WI 54901 - 0000 Telephone Number
426-4008
ity of Oshkosh
~q~'tion Services Division
P O Box 1130
Oshkosh, WI 5~903-t 130
Pltone: (920) 236-5050
~sx: (920) 236-5084
Roofing & Siding Permit Application
· Application(s) nnd £ee(s) cazt be brought to City HaD, Room 205 or mailed to lnspe~on Scrvieea, ~ Box 1128,
Oshko~ WI 54903-1128, Cornmenci~ work w~thout permit(s) will result in fees being doubled or $100.00 plus the
normal perrmt fee, which ever is greater.
If.you are a coj~lr_ar, tor ~artfCi_~aeing in_ th~.Pqr~it £~e Acc,'ou_nt Sw~er~ and haw ade~ate.£~nds, check here
if yot~ want this t~rocessed
I nm the: CI Owner OR
,.~LCATEGOIIY
Family ~ Duplex [] Mull-Family
Work being done:
ROOFING
~Tear offand r~pla~ existin$ roofln~
~ P,~pla~ wood d~ki.g
~ Add I layer of roofing m the exi~tin$
Thin work is bein$ done du~ to I~ Haft Damage CJ Other
aIDING
I~ lt~s~all sidin~ on ~ houaa, []
O Rental CI Commcr;i~l. [] Industrial
layer(s) on [] house,
~/Contractor
· ~ R~pln~in8 steel or aluminum with vi.yl (cir~}e.stcet or olumtnum)
0 R~I~s , .. w~th
~ work is being d~ ~ ~ 0 Hail Dama~ ~ Oth~
~en sid~g Is done, one of~e boxes below must be checked:
rq Electt~ - Existing Electric Me,er. receptacle, lighting and Electric Service cnwancc nlteratlom/rnodi~nttons ate being perfomed
AND O Electric lnsLallat~on Verification ~ITI3 iS attached OR. cl Se]~mute Elm Pem~t wf[! be r~l~%"~d,
Electric - Not Applicable because: E J Blocks previously installed. D No outside light~, [] Other
0 lnslall ne~ or 0 Replace setters
0 l~tall new or ID Replaoe down,pouts
Other related work being done: (please note)
(include fair market price for labor even if you me not paying for labor)
03/02