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HomeMy WebLinkAbout2003-Building (roof)OSHKOSH ON THE WATER Job Address '1601 ROOSEVELT AVE Designer CITY OF OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD Owner WILLIAM DAHSEISUSAN M DAHSE Contractor OWNER Category 141 - Exterior Remodeling Type ~I Building O Sign O Canopy (~ Fence (~ Raze No 0101756 Create Date 05/27/2003 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 I~t Poured Concrete O Floating Slab C) Pier (~) Other C~ Concrete Block (~) Post (~ Treated Wood Occupancy Permit Not Required Flood Plain __ Height Permit Park Dedication # Dwelling Units 0 # Structures Use/Nature of Work Size [] Projection l Canopies 0 Signs 0 .~FRFFear off and replace existing roofing on house & garage.* NO STRUCTURAL WORK. Permit issued to Ken App on behalf of Sue 3assert. HVAC Contractor Electric Contractor Fees: Valuation// Issued By: ~5~'/ Plumbing Contractor $4,500.00 Plan Approval $0.00 Permit Fee Paid [] Permit Voided $40.00 Park Dedication $0.00 Date 05/27/2003 Final/O.P. 00/00/0000 In the perform.~f this work I agree to perform all work pursuant to rules governing the described construction. Signature/~,~.~,,,~ Date :r_ ~(,./~ Agent/Owner Address Oshkosh WI 54901 - 0000 Telephone Number 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_/HKOJ'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 l£ vou are a contractor participating in the Permit fee ~4ccount System and have adequate funds, check here if you want this processed through your account [~ r I am the: [] Owner OR ~tYContractor USE CATEGORY II.Single Family [] Duplex [] Multi-Family [] Rental [] Commercial [] Industrial Work being done: ROOFING J~Tear offand replace existing roofing on ~ii:house, [~i~ 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, [] garage [] Replacing vinyl with vinyl [] Replacing steel or aluminum with vinyl (cimle 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: !) [] 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 q Sel~arate Elect Permit wffi be requested. 2) [] Electric - Not Applicable because: ~ J Blocks previously installed. D No outside lights, rq Other [] Install new or [] Replace gutters [] Install new or [] Replace downspouts Other related work being done: (please note) Value of the job $ L//_5'd)d5 (include fair market price for labor even if you are not paying for labor)03/02