HomeMy WebLinkAbout0096915-Building (roof) ;
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CITY OF OSHKOSH No 0096915 �
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD �
ON THE WATER �,
Job Address 2357 VINLAND ST Owner DONALD E HAGIE Create Date 08/29/2002 i
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Designer Contractor TOM DETTLAFF ROOFING =
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Category 141 -Exterior Remodeling Plan ;
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Type � Building � Sign � Canopy 0 Fence � Raze � �
, Zoning Class of Const: Size j
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Unfinished/Basement 0 Sq.Ft. Rooms 0 Height 0 Ft. ❑ Projection ; �
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Finished/Living 0 Sq.Ft. Bedrooms 0 Stories Canopies 0 �.
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Garage 0 Sq.Ft. Baths 0 Signs 0 �
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Foundation � Poured Concrete � Floating Slab � Pier � Other �
� Concrete Block 0 Post � Treated Wood ;
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Occupancy Permit Not Required Flood Plain Height Permit °
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Park Dedication #Dwelling Units 0 #Structures 0 �
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Use/Nature �FR/Tear off and replace existing roof on the house,due to old age. *NO STRUCTURAL WORK.
of Work �
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HVAC Contractor Plumbing Contractor �
Electric Contractor x
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Fees: Valuation $2,600.00 Plan Approval $0.00 Permit Fee Paid $30.00 Park Dedication $0.00 �
Issued By: �� Date 08/29/2002 Final/O.P. 00/00/0000 �
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❑ Permit Voided I °
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In the pe o ance of this work I agr to perform all work pursuant to rules goveming the described construction. �
Signature � Date �-'c�7 '—Q � �
AgenUOwner €
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Address 608 W 7th Ave Oshkosh WI 54902 - 0000 Telephone Number 235-7239 �
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City of Oshkosh
Inspection Services Division �
P O Box 1130 � �
Oshkosh,WI 54903-1130
Phone: (920)236-5050 01HKOfH i
Fax: (920)236-5084
ON THE V✓ATER
Roofing & Siding Permit Application
• 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
If vou are a contractor participatinQ in the Permit fee Account Svstem and have ad�uate funcis check here
i�vou want this processed throuQh vour account n
JOB ADDRESS d V� � �
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OWNER f
CONTRACTOR � �
I am the: ❑ Owner OR Conh-actor ;
U�CATEGORY £:
Single Family O Duplex O Multi-Family ❑Rental O Commercial ❑Industrial `
Work being done:
ROOFING
5d'Tear off and replace existing roofing on Q'house,❑garage §
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on 0 house,❑garage ;
This work is being done due to❑Hail Damage Other � l� G G'� i
SIDING '
❑Install siding on ❑house, ❑garage f
❑Replacing vinyl with vinyl `
❑Replacing steel or aluminum with vinyl(circle steel or aluminum) ,
O Replacing with
This work is being done due to❑Hail Damage ❑Other
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
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(Name of Licensed Electric Contractor)
AND �Electric Installation Verification form is attached OR ❑Separate Elect Permit wi71 be requested. i
2) ❑Electric—Not Applicable because: �J Blocks previously installed. �No outside lights. ❑Other
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❑Install new or O Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ v�� 00, (� � (include fair market price for labor even if you are not paying for labor) 03/02 S
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