HomeMy WebLinkAbout0100864-Building (roof)OSHKOSH
ON THE WATER
.lob .Address 1079 W 10TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner GRACE M SITTER LIFE ESTATE
Contractor ACCURATE ROOFING
Category 141 - Exterior Remodeling
No 0100864
Create Date 04/17/2003
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 roofing on garage. Install new rubber roof on breezeway between house & garage.* NO STRUCTURAL
of Work WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$1,500.00 Plan Approval $0.00 Permit Fee Paid
$25.00 Park Dedication $0.00
Date 04/17/2003 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 1011 KANSAS ST WI 54902 - 0000 Telephone Number 303-1897
OSHKOSH
ON THE WATER
Job Address 1079 W 10TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner GRACE M SITTER LIFE ESTATE
Contractor ACCURATE ROOFING
Category 141 - Exterior Remodeling
Type ~) Building (~ Sign 0 Canopy 0 Fence C) Raze
No 0100864
Create Date 04/17/2003
Plan
Zoning Class of Const:
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft.
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories
Garage 0 Sq. Ft. Baths 0
Foundation ~I Poured Concrete (~ Floating Slab O Pier ~) Other
(~) Concrete Block C) Post C) Treated Wood
Occupancy Permit Not Required Flood Plain __ Height Permit
Park Dedication # Dwelling Units 0 # Structures
Size
[] Projection
Canopies
Signs
Use/Nature SFRfTear off and replace existing roofing on garage. Install new rubber roof on breezeway between house & garage.* NO STRUCTURAL
of Work WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
Plumbing Contractor
$1,500.00 Plan Approval $0.00 Permit Fee Paid
$25.00 Park Dedication $0.00
Date 04/17/2003 Final/O.P. 00/00/0000
[] Permit Voided
In the performerrc'E-Oflhi~rk I agr/ee/)to perform all work pursuant to rules governing the described construction.
S~gnature_ Date
Agent/Owner
Address 1011 KANSAS ST OSHKOSH WI 54902 - 0000 Telephone Number
303-1897
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
O/HKO/H
ON THC 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 N
JOB ADDRESS /0
OWNER %z
CONTRACTOR
I am the: [] Owner OR /l~-Contractor
//~ CATEGORY
gle Family 123 Duplex [] Multi-Family
Work being done:
TeOFING
ar offand replace existing roofing on F1 house,/l~Kgarage
Fl Replace wood decking
[] Add I layer of roofing to the existing
This work is being done due to [] Hail Damage ~)ther
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 [] Industrial
layer(s) on [] house, [] garage
When siding is done, one of the boxes below must be checked:
I) [] Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND 5 Electric Installation Verification f~rm is attached OR. [] Separate Elect Permit will be requested.
2) [] Electric - Not Applicable because: E J Blocks previously installed. [] No outside lights. -q Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note)
Value of the job $ /_~'OO , CY3 (include fair market price for labor even if you are not paying for labor) 03~02