HomeMy WebLinkAbout0101566 BOSHKOSH
ON THE WATER
.lob.Address 2651 VILLAGE LN
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner CAROLE LWISSINK
Contractor CLASSIC ROOFING
Category 141 - Exterior Remodeling
No 0101566
Create Date 05/16/2003
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 on house & garage.* NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$9,500.00 Plan Approval $0.00 Permit Fee Paid
$65.00 Park Dedication $0.00
Date 05/16/2003 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
NEENAH
Address 626 S COMMERCIAL ST WI 54956 - 0000 Telephone Number 722-1109
OSHKOSH
ON THE WATER
,Job Address 2651 VILLAGE LN
Designer
Category 141 - Exterior Remodeling
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner CAROLE LWISSINK
Contractor CLASSIC ROOFING
Type O Building O Sign O Canopy O Fence O Raze
No 0101566
Create Date 05/16/2003
Plan
Zoning Class of Const:
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft.
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories
Garage 0 Sq. Ft. Baths 0
Foundation O Poured Concrete (~) Floating Slab (~) Pier O Other
(~ Concrete Block ~ Post (~ Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures
Size
[] ProjectionI
Canopies 0
Signs 0
Use/Nature SFRFFear off and replace existing roofing on house & garage.* NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: .~
Plumbing Contractor
$9,500.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided J
$65.00 Park Dedication $0.00
Date 05/16/2003 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.
Signature ~ Date
Agent/Owner
Address 626 S COMMERCIAL ST NEENAH WI 54956 - 0000 Telephone Number
722-1109
City of Oshkosh
Inspection Services Division
P OBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
)J'HKO./H
ON THE WATER
· Applicaiion(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 you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account [~
I am the: [] Owner OR [~Contractor
/n CATEGORY
gle Family [] Duplex [] Multi-Family [] Rental
[] Commercial
[] Industrial
Work being done:
ROOFING
[] Tear off and replace existing roofing on E~ouse, ~garage
[] Replace wood decking
[] Add 1 layer of roofing to the existing
This work is being done due to [] Hail Damage [] Other
SIDING
[] Install siding on [] house, El. 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 [] Other
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 Elecffic Conaactor)
AND '~ Electric Installation Verification f~rm is attached O._.~R [] Sel~arate Elect Permit wffl be requested.
2) 'Fl Electric - Not Applicable because: .2 J Blocks previously installed. U No outside lights. [2 Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note)
Value of the job $ -~ ~C30 *OCrV (include fair market price for labor even if you are not paying for labor)03/02