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HomeMy WebLinkAbout0085857-Building (roof) CITY OF OSHKOSH No 0085857 . ® OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2700 MONTCLAIR PL Owner GLENN V CLARK Create Date 05/08/2001 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 AND GARAGE AND RE -ROOF DUE TO HAIL DAMAGE of Work HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuati $3,85 .00 Plan Approval $0.00 Permit Fee Paid $35.00 Park Dedication $0.00 Issued By: Date 05/09/2001 Final /O.P. ❑ Permit Voided In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature £ O& ...6 R n Date 37q/0/ Agent/Owner Address P.O. BOX 15 WINNEBAGO WI 54985 - 0015 Telephone Number 235 -1955 MAY -08 -01 08:39 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 1J 00 t + or V c ck c r-- 2 The Property is owned by "" C (3" 3 I am the 0 Owner OR I am the Contractor 4 The contractor doing the work is (..0-1,€-c-LAJuda /Z 5 This Is a e Single Family Residence, 0 Rental, 0 Commercial 6 Work being done: ROOFING J21 ear off and replace existing roofing on O Replace wood decking ❑ Add 1 layer of roofing to the existing layer(s) on 0 house, 0 garage This work is being done due to (a - Hail Damage 0 Other SIDING O Install siding on 0 house, 0 garage O Replacing vinyl with vinyl O Replacing steel or aluminum with vinyl (circle steel or aluminum) O Replacing with This work is being done due to 0 Had Damage 0 Other When siding is done, one of the boxes below must be checked: 0 Electric — Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed by Electric Installation Verification form is attached (Name °rlrce "'edcr ° °r°co "rmccoe) O Electric — not applicable O Install new or 0 Replace gutters O Install new or 0 Replace downspouts ❑ Other work being done: (please note) Value of the job $ 3 8 J ©.Oo (include fair market price for labor even if you are not paying for labor)