HomeMy WebLinkAbout0104176-Building (roof)OSHKOSH
ON THE WATER
.lob Address 926 W 11TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner ROBIN L MALCHOW
Contractor OWNER
Category 141 - Exterior Remodeling
No 104176
Create Date 09/15/2003
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 house & garage. Replace existing slate siding on house with vinyl. Replace gutters and
of Work downspouts.* NO STRUCTURAL WORK. Separate Electrical Permit is required.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$7,300.00 Plan Approval $0.00 Permit Fee Paid
$55.00 Park Dedication $0.00
Date 09/15/2003 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.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Address 926 W 11TH AVE
Agent/Owner
OSHKOSH
WI 54902 - 6316 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
OSHKOSH
ON THE WATER
Job Address 926 W 11TH AVE
Designer
Category 141 - Exterior Remodeling
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner ROBIN L MALCHOW
Contractor OWNER
Type · Building (~ Sign (~ Canopy (~ Fence (~) Raze
No 104176
Create Date 09/15/2003
Plan
Zoning
Unfinished/Basement
Finished/Living
Garage
Foundation
Occupancy Permit
Park Dedication
0 Sq. Ft.
0 Sq. Ft.
0 Scl. Ft. Baths
· Poured Concrete (~ Floating Slab C) Pier
(~ Concrete Block (~) Post
Not Required
Class of Const:
Rooms 0 Height
Bedrooms 0 Stories
0
Other
0 Ft.
(~) Treated Wood
Flood Plain Height Permit
# Dwelling Units 0 # Structures
Size
[] Projection J
Canopies 0
Signs 0
0
Use/Nature SFRFFear off and replace existing roofing on house & garage. Replace existing slate siding on house with vinyl. Replace gutters and
of Work downspouts.* NO STRUCTURAL WORK. Separate Electrical Permit is required.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
$7,300.00 Plan Approval
Plumbing Contractor
$0.00 Permit Fee Paid $55.00 Park Dedication $0.00
Date 09/15/2003 Final/O.P. 00/00/0000
[] Permit Voideda
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this pern~it apglicetion within ap.~asement, the City streng]y urges the permit applicant to contact the easement
holder(s) an~td s,~c/re an~ [~ces~/a~r~o~,als bonfire starti.r~._s.~i)..a.p;t[yity,
AgentJOwner
Address 926WllTHAVE OSHKOSH WI 54902-6316 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Phone: (920) 236-5050 t /'l. ,.. F~~£LI
Roofing & Siding PermitC. t (Off ation oN
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mail¢d I~t[~pection Services, PO Box 1128,
OshkoshWI 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
I am the: [] Owner OR $g Contractor
USE CATEGORY
~t~Single Family [] Duplex El Multi-Family
Work being done:
ROOFING
J~Tear off and replace existing roofing on [J~ house, J~ garage
[] Replace wood decking
[] Add I layer of roofing to the existing
This work is being done due to [] Haft Damage
SIDING
[] Install siding on ~house, [] garage
[] Replacing vinyl with vihyt
[] Rental [] Commercial [] Industrial
layer(s) on [] house, [] garage
[] Other ;?ea~f~ \ ._~5
[] Replacing steel or aluminum with vinyl (circle steel or aluminum)
[]Replacing 5t fi'~r ~ with (.J 1'/4~ /
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 am being performed
by
{Name of Licensed Electric Conlractor)
AND D Electric Installation Verification f~im is attached O._~R [2 Sel~arate Elect Permit wm be requested.
2) [] Electric - Not Applicable because: [2 J Blocks previously installed. 12 No outside lights. [] Other
[] Install new or~ Replace gutters
[] Install new or [~Replace downspouts
Other related work being done: (please note)
(include fair market price for labor even if you are not paying for labor)
Value of the jOb $ '~ 0 0 ~ 03/02