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HomeMy WebLinkAbout0098842-Building (roof)OSHKOSH ON THE WATER Job Address 146 BROCKWAY AVE Designer CITY OF OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD Owner DANIEL P/JENNIF FRANK Contractor OWNER Category 141 - Exterior Remodeling Type · Building (~ Sign (~) Canopy ~) Fence (~ Raze No 0098842 Create Date 11/29/2002 Plan Zoning Class of Const: Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. FinishedlLiving 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 [] Projecti°n j Canopies 0 Signs 0 Use/Nature SFR/Add 1 layer of roofing to the existing 1 layer on the house, due to leaking. Replace gutters. *NO STRUCTURAL WORK. of Work HVAC Contractor Electric Contractor Fees: Valuation Issued By: Plumbing Contractor $3,800.00 Plan Approval $0.00 Permit Fee Paid $35.00 Park Dedication $0.00 Date 11/29/2002 Final/O.P. 00/00/0000 [] Permit Voided J In the performance of this work I agree to perfg, rm all work pursuant to rules governing the described construction. Signature~r~ (~'~jf ' '~.~ Date Agent/Owner Address 146 BROCKWAY AVE OSHKOSH WI 54902 - 6944 Telephone Number C~ty 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 TIlE 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 I_f you are a contractor participating in the Permit fee Account System and have adequate _funds, 'check here ~f you want this processed through your account JOB ADDRESS CONTRACTOR I am the: 'x~Owner BE CATEGORY ingle Family [] Duplex OR [] Contractor [] Multi-Family [] Rental [] Commercial [] Industrial Work being done: ROOFING [] Tear offand replace existing roofing on [] house, [] garage [] Replace wood decking [~Add I 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 ~ouse, [] 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 ~ Electric Installation Verification f~rm is attached OR E SeI~arate Elect Permit wffi be requested. 2) [] Electric - Not Applicable because: [] J Blocks previously installed. [] No outside lights. [] Other [] Install new or'[l~ Replace gutters [] Install new or [] Replace downspouts Other related work being done: (please note) Value of the job $ '3ffO0 (include fair market price for labor even if you are not paying for labor) 03/02