HomeMy WebLinkAbout0087619 - roof (07/16/01) CITY OF OSHKOSH No 0087619
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2103 MOUNT VERNON ST Owner JEFFREY D ZEINERT Create Date 07/16/2001
Designer Contractor OWNER
Category 141 -Exterior Remodeling Plan
Type • Building 0 Sign 0 Canopy O Fence O 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 O 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/Tear off and replace existing roofing on house.*(NO STRUCTURAL WORK)permit picked up up by the father of the homeowner.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,700.00 Plan Approval $0.00 Permit Fee Paid $40.00 Park Dedication $0.00
Issued By: i ---- ^ Date 07/16/2001 Final/O.P.
E Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction. / !
Signature - C yr �,y � 2 Date 7 —(6 -.0/
// r/ AAgrent/Ovy{�er
Address (191/ £. -�- / ( ? 2slakos; (
WI 54901 - 0000 Telephone Number
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property :' /(( 3 T v?0014%n 57-
2 The Property is owned by ' -(f r e ?, Z e
3 I am the ® Owner OR I am the ❑ Contractor
4 The contractor doing the work is 5 E If
5 This is a Single Family Residence, ❑ Rental, ❑ Commercial
6 Work being done:
ROOFING
g Tear off and replace existing roofing on J house, El 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 41EI Other of ire'
a
SIDING
❑ Install siding on ❑ house, ❑ garage
❑ Replacing vinyl with vinyl
❑ Replacing steel or aluminum (circle one) with vinyl
❑ Replacing with
This work is being done due to ❑ 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 of Licensed Electric Contractor)
❑ Electric — not applicable
❑ Install new or ❑ Replace gutters
❑ Install new or ❑ Replace downspouts
❑ Other work being done: (please note)
off?
Value of the job $ 1 760 • (include fair market price for labor even if you are
not paying for labor)