HomeMy WebLinkAbout00086582 - Building (roof) CITY OF OSHKOSH No 0086582
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1537 MOUNT VERNON ST Owner LUCRETIA M DUMDIE LIFE ESTATE Create Date 06/07/2001
Designer Contractor RESTORATION CONTRACTORS OF AMERICA
Category 141 -Exterior Remodeling Plan
Type • Building O Sign O Canopy 0 Fence 0 Raze i
Zoning Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation • Poured Concrete O Floating Slab O Pier 0 Other
0 Concrete Block 0 Post O 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 house due to hail damage.*(NO STRUCTURAL WORK)
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,200.00 Plan Approval $0.00 Permit Fee Paid $40.00 Park Dedication $0.00
Issued By: "./ Date 06/07/2001 Final/O.P.
❑ Permit Voided
In the performance of this = •• -- to perfor all work pursuant to rules governing the described construction.
i _ /? )`
Si nature /# .r-- Date
9 _
:f.�'nt/Owner
Address 127 W MAIN ST OMRO WI 54963 - 0000 Telephone Number 920-685-6939
06/07/2001 08:58 9206850122 RCA INC PAGE 02/02
Rpr 17 01 04: 13p Code Enfo-cement 220-236-5084 p. 1
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property /5 3 7 W) Is V' RA) &et)
2 The Property is owned by V1 QS, 0(,`01 Di -e
3 I am the ❑ Owner I)R I am the [�Contractor
4 The contractor doing the wt rk is P� /// "'
5 This is a (Single Single Family Residence, 0 Rental, ❑ Commercial
6 Work being done:
R OFING
Tear off and replace existing roofing on house, ❑ garage
❑ Replacce wood decking
❑ Add 1 layer of roofing to i he existing layer(s)on ❑ house, ❑ garage
This work is being done due to Hail Damage ❑ Other
SIDING;
❑ Install siding on ❑ hou,ce, O, garage
• ❑ Replacing vinyl with vinyl •
❑ Replacing steel or alumir urn (circle one)with vinyl
❑ Replacing with
This work is being done due,to 0 Hail Damage ❑ Other •
When siding is done, one of the boxes below must be checked:
❑ Electric— Electric Meter, receptacle, lighting and Electric Service entrance
alterations/modifications are being performed by
Electric Installation Verification form is attached (Name oI Licensed Electric Contractor)
• ❑ Electric— not applicable
O Install new or 0 Replace gutters
❑ Install new or ❑ Replace downspouts
❑ Other work being done: (lease note)
•
Value of the job $ `Cr 2 Do • v_ (include fair market price for labor even if you are
not paying for labor)
•