HomeMy WebLinkAbout0096840-Building (roof) CITY OF OSHKOSH No 0096840
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3757 GLENKIRK LN Owner ELLEN AMUNDSON Create Date 08/26/2002
Designer Contractor OWNER
Category 141 - Exterior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
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/Replace existing wood siding on addition with vinyl.* NO STRUCTURAL WORK.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $300.00 Plan Approval $0.00 Permit Fee Paid $20.00 Park Dedication $0.00
Issued By: K' / Date 08/26/2002 Final /O.P. 00 /00 /0000
❑ Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
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Signature "Zez___10.,z22.7 2. ,.�wnYAc - Date g -,;l co -(0...
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number 23 3- c3g
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 Of HKOf 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 permit(s) 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 fl
JOB ADDRESS 7 5' 7 6 / e. A/ />' L.
OWNER E 1/ e /v 4 r a rac c
CONTRACTOR /3 (cr7 / e t'
I am the: I9 Owner OR ❑ Contractor
USE CATEGORY
Single Family ❑ Duplex ❑ Multi - Family ❑ Rental ❑ Commercial ❑ Industrial
Work being done:
ROOFING
❑ Tear off and replace existing roofing on ❑ house, ❑ garage
❑ Replace wood decking
❑ Add 1 layer of roofing to the existing layer(s) on ❑ house, ❑ garage
This work is being done due to ❑ Hail Damage ❑ Other
SIDING
❑ Install siding on ❑ house, ❑ garage ex 2 if ell
❑ Replacing vinyl with vinyl
❑ Replacing steel or aluminum with vinyl (circle steel or aluminum)
&I i,J17Oc with v (
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 $ 360,, UD (include fair market price for labor even if you are not paying for labor) 03/02