HomeMy WebLinkAbout0094554-Building (roof) � CITY �� O�liKOSH No 0094554
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 504 W NEVADA AVE Owner ROBERT F KUJAWA/J FAKER Create Date 05/22/2002
Designer Contractor APPLETON ROOFING&CONTRACTING
Category 141 -Exterior Remodeling Plan
Type � Building � Sign � Canopy � Fence � Raze ��
Zoning Class of Const: Size
Unflnished/Basement 0 Sq.Ft. Rooms 0 Height 0 Ft. � Projection I
Finished/Living 0 Sq.Ft. Bedrooms 0 Stories Canopies 0
Garage 0 Sq.Ft. Baths 0 Signs 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 0
Use/Nature FR/Tear off and replace existing roofing&decking on house due to hail damage.*NO STRUCTURAL WORK
of Work
;
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,051.00 Plan Approval $0.00 Permit Fee Paid $50.00 Park Dedication $0.00
Issued By: li.=•'- � � Date 05/22/2002 Final/O.P. 00/00/0000
� I
� Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date �
Agent/Owner
Address 1624 E WISCONSIN AVE APPLETON WI 54911 - 0000 Telephone Number 920-733-3002
�ep U� U1 Uy: 03a Code Enforc�men}
�.., , 920-2 6-5084 p_ 3
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Check afl applicable boxes and filt out as much information as possibie. Thank you.
1 Address of Property O (�(� �•
2 The Property is owned by
3 I am the ❑ Owner OR i am the�Contractor
�
4 The cont�actor doing the work is � '
5 This is a Single Family Residence, � Rental, ❑ Commercial
6 Work being done:
� ROOFING
ear off and replace existing rovfing on house, O garage
Replace wood decking
❑ Add 1 layer of roofing to the existing layer(s) on ❑ house, ❑ garage
This work is being done due to Hail Damage ❑ Other
StDING
❑ Install siding on C] house, ❑ garage
C] Replacing vinyl with vinyl
❑ Replacing steel or aluminum with vinyl (circle steel or aluminum)
O Replacing with
This work is being done due to D Hait Damage O OtMer
When siding is done, one of the boxes below must be checked:
O Electric— Electric Meter, receptacle, lighting and Electric Service entrance
alterations/modifications are being performed by
Electric Installation Veriflcation form is aCtached a"'� ��"S � �,�
❑ Electric— not applicable :
O Install nevv or❑ Replace gutters
O Insta(I new or C7 Replace downspouts
� Other work being done: (please note)
�
Value of the job � � �i �-
�L (include fair ma�ket price for labor even if you are
not paying for labor)