HomeMy WebLinkAbout2003-Building (roof)OSHKOSH
ON THE WATER
,Job Address 115 PROSPECT AVE
Designer
Category 141 - Exterior Remodeling
CITY OF OSHKOSH No 0101217
BUILDING PERMIT -APPLICATION AND RECORD
Create Date 05/02/2003
Owner PAULA/DEBRA S ADDIS
Contractor OWNER
Type · Building O Sign O Canopy O Fence O Raze
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 · 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
Size
[] Projection
Canopies
Signs
Use/Nature DUPLEX/Add one layer of roofing to the existing one layer on a portion of the north side of the roof on the house. Repair is being done,
of Work due to wind damage. *NO STRUCTURAL WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~t~
Plumbing Contractor
$600.00 Plan Approval
$0.00 Permit Fee Paid
$20.00 Park Dedication $0.00
Date 05/02/2003 FinallO.P. 00/00/0000
[] Permit Voided
In the perforr~ance o~,-t~ work I agree to perform all work pursuant to rules governing the described construction.
S ignature~f~ ~/~..~ ~ J,~,c:~,~-~^ Date
, ? Agen Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
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 THE V~/ATER
· 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 ~
CONTRACTOR
I am the: l~.Owner OR [] Contractor
USE CATEGORY
[] Single Family ~.~uplex
[] Multi-Family [] Rental
[] Commercial
[] Industrial
Work being done:
ROOFING
[] Tear off and replace existing roofing on [] house, [] garage
[] Replace wood decking
~dd 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
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 D Electric Installation Verification f~rm is attached OR q Sel~arate Elect Permit will be requested.
2) [] Electric - Not Applicable because: D J Blocks previously installed. [] No outside lights. [] Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note)
Value of the job $ (~O~D_ "'-
(include fair market price for labor even if you are not paying for labor)
03/02