HomeMy WebLinkAbout0098026-Building (roof) CITY OF OSHKOSH No oosao2s �
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ?
ON THE WATER �
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Job Address 906 E NEW YORK AVE Owner DANIEL R ANDERSON Create Date 10/16/2002 }
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Designer Contractor LAKEWOOD ROOFING �
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Category 141 -Exterior Remodeling _ _ Plan _
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Type � Building � Sign � Canopy � Fence � Raze
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Zoning Class of Const: Size {
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Unfinished/Basement 0 Sq.Ft. Rooms 0 Height 0 Ft. � Projection
Finished/Living 0 Sq.Ft. Bedrooms 0 Stories Canopies 0
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Garage 0 Sq.Ft. Baths 0 Signs 0 �
Foundation � Poured Concrete 0 Floating Slab 0 Pier � Other ;
� Concrete Block 0 Post � Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit ;
Park Dedication #Dwelling Units 0 #Structures 0 �
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Use/Nature SFR/Tear off and replace existing roofing on house&garage.*NO STRUCTURAL WORK ;
� of Work � �
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HVAC Contractor Plumbing Contractor
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Electric Contractor
Fees: Valuation $3,995.00 Plan Approval $0.00 Permit Fee Paid $35.00 Park Dedication $0.00
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Issued By: ,,�/-� Date 10/16/2002 Final/O.P. 00/00/0000 �
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� Permit Voided� �
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In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction. �
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Signature �Q �_Q ,��;� Date / O�[ E,/p '� 4
AgenUOwner �
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Address P.O.BOX 15 WINNEBAGO WI 54985 - 0015 Telephone Number 235-1955
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Ciry of Oshkosh
Inspection Services Division �
P O Box 1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 O1HKO.IH t
Fax:(920)236-5084
ON THE WATER �
Roofing & Siding Permit Application f
� • Applicarion(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.
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If vou are a contractor narticipating in the Permit fee Accouni Svstem and have adeguate funcls check here
i[vou want this processed through vour account n �
JOB ADDRESS / O 1p � . � �� Y��I�
OWNER D��1� �'f�,e I"1"��
CONTRACTOR_ Lu�""���G c�(� �u���� �nC �
I am the: O Owner OR ,�ontractor
USE CATEGORY
�Siugle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
�'ear off and replace existing roofing on�' ouse,�G�arage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on�house,O garage
This work is being done due to❑Hail Damage �her f�1��9�
SIDING
❑Install siding on ❑house, �garage
O 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: `
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1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed �
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(Name of Licensed Electric Contractor)
AND �Electric Installation Verification form is attached OR �Separate Elect Permit w11 be requested.
2) ❑Electric—Not Applicable because: ��J Blocks previously installed. �No outside lights. ❑Other
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❑Install new or�Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note) •
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Value of the job $�� �,�5. � � (include fair market price for labor even if you are not paying for labor) 03/02
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