HomeMy WebLinkAbout0101350-Building (roof)OSHKOSH
ON THE WATER
.lob .Address 21 W 10TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner SHELLY BIESINGER
Contractor OWNER
Category 141 - Exterior Remodeling
No 0101350
Create Date 05/08/2003
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 Rental/Tear off and replace existing roofing & decking on house.* NO STRUCTURAL WORK. Owner authorization to issue permit to AAA
of Work United Roofing on owner's behalf.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$2,500.00 Plan Approval $0.00 Permit Fee Paid
$30.00 Park Dedication $0.00
Date 05/08/2003 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.
Signature
Date
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
OSHKOSH
ON THE WATER
,Job Address 21 W 10TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner SHELLY BIESINGER
Contractor OWNER
Category 141 - Exterior Remodeling
Type ~ Building
Sign (~ Canopy O Fence (~ Raze
No 0101350
Create Date 05/08/2003
Plan
Zoning
Unfinished/Basement
Finished/Living
Garage
Foundation
Occupancy Permit
Park Dedication
Class of Const:
0 Sq. Ft. Rooms 0 Height 0 Ft.
0 Sq. Ft. Bedrooms 0 Stories
0 Sq. Ft. Baths 0
Poured Concrete O Floating Slab (~ Pier O Other
Concrete Block (~) Post C) Treated Wood
Not Required Flood Plain Height Permit
# Dwelling Units 0 # Structures
Size
[] Projectioni
Canopies 0
Signs 0
Use/Nature
of Work
Rental/Tear off and replace existing roofing & decking on house.* NO STRUCTURAL WORK. Owner authorization to issue permit to
AAA United Roofing on owner's behalf.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
Plumbing Contractor
$2,500.00 Plan Approval $0.00 Permit Fee Paid
$30.00 Park Dedication $0.00
Date 05/08/2003 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.
Signature i,~')~;~,~u~ c7~.._ /~3/3~__~ Date
Agent/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 WATER
· 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 ['~
I am the: ~ O~er OR ~ Con.actor
USE CATEGORY
i"1 Single Family [] Duplex
Multi-Family ~Rental
FI Commercial
[] Industrial
Work being done:
ROOFING
[] Tear off and replace existing roofing on ~house, [] garage
'~1 Replace wood decking
[] Add 1 layer of roofing to the existing
This work is being done due to [] Hail Damage .E] 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, lightihg and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND ~ Electric Installation Verification f~rm is attached OR [] Selbarate Elect Permit wfll 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 $ ~ ~'00 :~' (include fair market price for labor even if you are not paying for labor) 03/02
Mr' Fender
B~ (92~)~3§:2~OO ' FaX (920)739.2336 ° To// Free (888)MrFender
..... ~ ................. ; v,.~ ........ ..,..,.~. '
We Offer:
'. %"~Bumpers & Covers - Rebars - Fenders - Doors - Hoods - Mirrors - Header Panels - Grilles
~ead & Tail Lamps - Step Bumpers - Bed Liners - Radiators - Condensers - Fuel Tanks