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HomeMy WebLinkAbout0101212-Building (roof)OSHKOSH ON THE WATER Job Address Designer Category Type 150 N CAMPBELL RD 141 - EXterior Remodeling Zoning Unfinished/Basement Finished/Living Garage Foundation Occupancy Permit Park Dedication No 0101212 CITY OF OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD Owner FOX VALLEY TECH & ADULT Contractor Create Date 05/02/2003 W J WOODRUFF ROOFING CONTRACTORS I1' (~ Sign~_ ___~_. CanoPy .... ~ Fence_ ............ ~_ Raz~e ..... Height Permit # Structures Class of Const: 0 Sq. Ft. Rooms 0 0 Sq. Ft. Bedrooms 0 0 Sq. Ft. Baths 0 Poured Concrete (~) Floating Slab C) Pier Concrete Block C) Post (~) Treated Wood Not Required Flood Plain # Dwelling Units Plan Height 0 Ft. Stories Other Size [] Projection! Canopies 0 Signs 0 Use/Nature of Work Commercial/School/Tear off and replace exisitng roofing.* NO STRUCTURAL WORK. HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $157.200.00 Plan Approval $0.00 Permit Fee Paid ,ssuedBy: ~/]~--~//~~ ~/¢~~~._~¢- v [] Permit Voided I $509.00 Park Dedication $0.00 Date 05/02/2003 Final/O.P. 00/00/0000 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address PO BOX 763 Fond du Lac WI 54936 - 0763 Telephone Number 920-922-3110 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 · 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 1£32ou are a contractor participating in the Permit £ee Account System and have adequate £unds, check here i£¥ou want this processed through Four account ~ JOB ADDRESS OWNER FOX CONTRACTOR NJ I am the: USE CATEGORY [] Single Family Work being done: ROOFING 150 N Campbell Road Valley Technical College, 1825 N Bluemound Dr., Woodruff Roofing Contractors, Inc. [] Owner OR /l~Contractor [] Duplex [] Multi-Family [] Rental I~Commercial I~ Tear offand replace existing roofing on [] house, [] garage [] Replace wood decking [] Add 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 ainminum with vinyl (circle steel or aluminum) [] Replacing with This work is being done due to [] Hail Damage [] Other X-school layer(s) on [] house, [] garage Appleton WI 54913 [] Industrial 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 kl Electric Installation Verification form is attached OR II Separate Elect Permit will be requested. 2) [] Electric - Not Applicable because: t2 J Blocks previously installed. ID No outside lights..3 Other [] Install new or [] Replace gutters [] Install new or [] Replace downspouts Other related work being done: (please note) Value of the job $1 5 7., 2 0 0.0 0 (include fair market price for labor even if you are not paying for labor) 03/02