HomeMy WebLinkAbout0082483-Building (roof) �
� CITY OF OSHKOSH No ooszas3
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OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1322 W 5TH AVE Owner MICHAEL F MILLER Create Date 10/25/2000
Designer Contractor DNR ENTERPRISES
Category 141 -Exterior Remodeling Plan
Type ui ing ign anopy ence aze
Zoning Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ro�e ion
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation Poured Concrete (-� Floating Slab O Pier O Other
� Concrete Block O Post O Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature -
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,625.00 Plan Approval $0.00 Permit Fee Paid $35.00 Park Dedication $0.00
Issued By: �m � Date 10/25/2000 Final/O.R
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ermi oi e
In the performance of this work I agree to perform all work purs o rules governing the described construction.
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Signature �,��� t�� Date I�� �� ��
AgenUOwner ` :
Address 1065 GILLINGHAM RD APT 3 NEENAH WI 54956 - 0000 Telephone Number 920-969-1092
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Check all applicable boxes and fill out as much information as possible. Thank you. :
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1 Address of Property _ � �Z 2 �, , , � —
2 The Property is owned by __ !.�i.L.�IZ,N '(���,i.�,�
3 I am the ❑ Owner OR I am the�Contractor
4 The contractor doing the work is ��Z �NT���2�5� �
5 This is a l� Single Family Residence, ❑ Rental, ❑ Commercial
6 Work being done:
ROOFING
�,Tear off and replace existing roofing on�house, ❑ garage
❑ Replace wood decking
❑ Add 1 layer of roofing to the existing layer(s) on O house, ❑ garage
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
When siding is done, one of the boxes below must be checked:
❑ Electric— Electric Meter, receptacle, lighting and Electric Service entrance
alterations/modifications are being performed by
Electric Installation Verification form is attached ameo icense e��,� ontractor)
❑ Electric— not applicable
❑ Install new oc� Replace gutters
❑ Install new or� Replace downspouts
❑ Other work being done: (please note)
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Value of the job $ 3 , f� 2 S — (include fair market price for labor even if you are
not paying for labor)