HomeMy WebLinkAbout0100723-Building (roof)OSHKOSH
ON THE WATER
.lob ,Address 403 W 14TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner JAMES D/KATHLEE POTTER
Contractor OWNER
Category 141 - Exterior Remodeling
No 0100723
Create Date 04/09/2003
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
$3,500.00 Plan Approval $0.00 Permit Fee Paid
$35.00 Park Dedication $0.00
Date 04/09/2003 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
OSHKOSH
Address 403W 14TH AVE WI 54902 - 6539 Telephone Number
OSHKOSH
ON THE WATER
.Job Address 403 W 14TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner JAMES D/KATHLEE POTTER
Contractor OWNER
Category 141 - Exterior Remodeling
Type ~1 Building (~ Sign O Canopy C) Fence O Raze
No 0100723
Create Date 04/09/2003
Plan
Zoning Class of Const:
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories
Garage 0 Sq. Ft. Baths 0
Foundation ~I Poured Concrete (~ Floating Slab (~) Pier C) Other
(~ Concrete Block (~ Post (~ Treated Wood
Occupancy Permit Not Required Flood Plain
Park Dedication # Dwelling Units 0
0 Ft.
Size
[] Projection j
Canopies 0
Signs 0
Height Permit
# Structures
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: l~t~
Plumbing Contractor
$3,500.00 Plan Approval $0.00 Permit Fee Paid
In the performa en~of~is work/-t, agr~p~rform all
Signature ~
[] Permit Voided j
$35.00 Park Dedication $0.00
Date 04/09/2003 Final/O.P. 00/00/0000
Address
403 W 14TH AVE
work pursuant to rules governing the described construction.
Date
Agent/Owner
OSHKOSH WI 54902 - 6539 Telephone Number
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
O/HKO/H
ON THE WATER
Applicahon(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
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 [~
CONT cxoR,
I am the: /[~Owner OR ~2~-Contractor
USE CATEGORY
f~Single Fami_ly [] Duplex [] Multi-Family
Work being done:
ROOFING
~ Tear offand replace existing roofing on/~ house, [] garage
[] Replace wood decking
[] Add 1 layer of roofing to the existing
This work is being done due to [] Hail Damage [] Other ~/
SIDING
[] Install siding on [] house, [] garage
[] Replacing vinyl with vinyl
[] Replacing steel or aluminum with vinyl (circle steel or aluminum)
[] Replacing with
This work is being done due to [] Hail Damage [] Other
[] Rental [] Commercial [3 Industrial
layer(s) on [] house, [] garage
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 3 Electric Installation Verification f~rm is attached OR [] Sel~arate Elect Permit wi'Il be requested.
2) '1-1 Electric - Not Applicable because: ,~ J Blocks previously installed. [] No outside lights. [2 Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note)
Value of the jobS ~/~~ OO
(include fair. market price for labor even if you are not paying for labor)
03/02