HomeMy WebLinkAbout0101293-Building (roof)OSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
1012 E NEW YORK AVE
141 - Exterior Remodeling
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner ZACHERY S/KATHE KONZ
Contractor OWNER
· Building (~ Sign (~ Canopy (~ Fence (~ Raze
No 0101293
Create Date 05/06/2003
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 J
Canopies 0
Signs 0
Use/Nature SFR/Tear off and replace existing roof on the house and detached garage, due to old age. *NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$1,800.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided j
$25.00 Park Dedication $0.00
Date 05/06/2003 Final/O.P. 00/00/0000
In the perf~rTan~_~°r~/~grT~ ~/~ Pe~~~r~.t t~'r~g°veming ~_e described c°nstructi°n.
Signature ~, ~~/~~ ~ ~Y ~ Date
Address 101&~ORK AVE ~SHKOSH ~1 - 4029 Telephone Number
�
� �
Ciry of Oshkosh ,;,, .
Inspecrion Services Division � �� `�o
P O Box 1130 �� '
Oshkosh,WI 54903-1130 O,qr� � �
Phone:(920)236-5050 01HKOf H �
Fax:(920)236-5084
ON THE WATER �
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
I}'vou are a contractor participating in the Permit fee Account Svstem and have adequate funds check here
i�you want this processed through vour account n
JOB ADDRESS ���� � - �Q� ��� ��:
OWNER �Y� V GL�I Y`�� L�-�?V l�
CONTRACTOR ��
I am the: �.Owner OR ❑ Contractor
U,SE CATEGORY
�Single Family ❑Dupiex �Multi-Family �Rental ❑Commercial ❑Industrial
Work being done:
ROOFING U(
�Tear off and replace existing roofing on�house,�g ag�
❑Replace wood decking
O Add 1 layer of roofing to the existing layer(s)on�house,❑garage
This work is being done due to�Hail Damage Other ���� /�,[��-
SIDING
❑Install siding on O house, ❑garage
0 Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
O Replacing with
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 are being performed
by
(Name of Licensed Electric Contractor)
AND �Electric Installation Verification form is attached OR ❑Sepazate Elect Permit w71 be requested.
2) O Electric—Not Applicable because: �J Blocks previousiy installed. ❑No outside lights. ❑Other
❑Install new or O Replace gutters
O Install new or�Replace downspouts
Other related work being done: (please note) •
Value of the job $ I �� :�C� (include fair market price for labor even if you are not paying for labor) 03/02