HomeMy WebLinkAbout0101694-BuildingOSHKOSH
ON THE WATER
.lob.Address 108 W LINWOOD AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner SHIRLEY M PAULSEN
Contractor OWNER
Category 141 - Exterior Remodeling
No 0101694
Create Date 05/21/2003
Plan
Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. ~J Projection
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies
Garage 0 Sq. Ft. Baths 0 Signs
Foundation O 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 SFR/Tear off and replace existing roofing and partial wood decking on the house, due to leaks. *NO STRUCTURAL WORK. Don Paulos is
of Work lhe contractor.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$2,500.00 Plan Approval $0.00 Permit Fee Paid
$30.00 Park Dedication $0.00
Date 05/22/2003 Final/O.P. 00/00/0000
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
OSHKOSW
ON THE WATER
Job Address 108 W LINWOOD AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner SHIRLEY M PAULSEN
Contractor OWNER
No 0101694
Foundation
Occupancy Permit
Park Dedication
Create Date 05/21/2003
Category 141 - Exterior Remodeling Plan
Type O Building %.~_ .Sig_n ........ _.~__.__c._.an_0_p__y- ........... (~ Fence .... _(~_._Raz_e ..............
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. ~_ Pr_ojecfion
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies
Garage 0 Sq. Ft. Baths 0 Signs
O Poured Concrete ~ Floating Slab (~ Pier (~ Other
(~ Concrete Block (~ Post ~) Treated Wood
Not Required Flood Plain
# Dwelling Units 0
Height Permit
# Structures
Use/Nature SFR/Tear off and replace existing roofing and partial wood decking on the house, due to leaks. *NO STRUCTURAL WORK. Don Paulo.~
of Work is the contractor.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
Plumbing Contractor
$2,500.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided
$30.00 Park Dedication $0.00
Date 05/22/2003 Final/O.P. 00/00/0000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
S ignatu re ~:~_,z...~'-'-¢/~.~ ~/, :,~::2~gent/Owner Date .j~',,~/~ .~//O ~
Address /~' ~~~ _ Oshkosh WI 54901 -0000 Telephone Number ~* ~O
City 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 THE 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
]~_EO_~_qre__a._.contr_ qcto~to~Ej2qrt(cipating in the Permit fee ,4ccount System and have adequate funds, check here
if you want this processed through your account ~'~
JOB.Oi, ss 108 bl' s½ L/ vo4
CONT~CTOR /)O/~
I am the: [] Owner OR I~ Contractor
USE CATEGORY
,ffi, Single Family [] Duplex
[] Multi-Family
[] Rental [] Commercial [] Industrial
Work being done:
ROOFING
]~['Tear off and replace existing roofing on ~ house, [] garage
1~ Replace wood decking ..qO~ff ~R~'rl
[] Add 1 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 [] Othe,
layer(s) on [] house, [] 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 [] Sel~arate Elect Permit w~ be reques~edJ
2) [] Electric - Not Applicable because: 5 J Blocks previously installed..q No outside lights. [] Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note) __
Value of the job $ ~.5~0~~ (include fair market price for labor even if you are not paying for labor) 03/02