HomeMy WebLinkAbout0080407-Building (roof) ` � CITY OF OSHKOSH No oosoao�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2022 NEBRASKA ST Owner MARK A/PAMELA A LOBAJESKI Create Date 08/22/2000
Designer Contractor BEULEN 8 SONS CONSTRUCTION
Category 141 -Exterior Remodeling Plan
TYpe �Buiiding � Sign _ � Canopy __— 0 Fence __ � Raze
Zoning Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation Poured Concrete � Floating Slab � Pier Q Other
Concrete Block � Post � Treated Wood '
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature FR/Remove existing roofing,replace with new shingles'(hail damage)(NO STRUCTURAL WORK).
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,483.00 Plan Approval $0.00 Permit Fee Paid $40.00 Park Dedication $0.00
Issued By: r"� Date 08/24/2000 Final/O.P.
� Permit Voided
In the perform f i ork I agree to erform all work pursuant to rules governing the described construction.
Signature [�'�-' Date ��T
AgenUOwner
Address 246 SCOTf STREET OMRO WI 54963 - 0000 Telephone Number 685-5801
08/22/2000 12:24 2197647174 GLUR PAGE 02
� � �►�-� K-�-�- ���uf -�rm �
Please check atl applicabie boxea and fill out as much information as possibie. Thank
you.
1 Address of Propeny �� N� ��
2 The Prope�ty �s owned by ��� r`'`"��� � ����� _ —
3 I am the O Ownsr
0� �,(.�.QA'l� �Sb�'I,S �-�
I am the �Contractor. Neme: -
4 The contractor doing the work is �� as �`'�'
, This is a �fiingle Family Rdsidence, � Ouplex, O Multi-Fam�ly Residence
6 Work being done:
ROOFING
� "faar off and replace exiating roofing o�ouse, � garage
U Replace wood decking
O Add 1 fayer of �oofing to the existing layer(s)on I7 house, [J garage
This work is being done due to,�ieil Damege O Othdr �_
31DIN0
�] Instal► siding on � house, O ga►'aga
, i.7 �eplacing vinyl with vinyl
❑ Replac�ng steet or aluminum with v►nyl
D Reptacing ._------,.,,.•------._ ._with
This work Is being done due to d Hail Damage ❑ Other _
❑ Install new cr CJ ReD�ace gutters
�7 Install new or O Rep18Ce downspouts
� Qther work be+ng don�� (please notej ^
Vaiue o� the joo � `"T�v�� (mclude fair marke�pr�ce (o� labor even It you are
not paying for labor)