HomeMy WebLinkAbout0101607-Building (roof)OSHKOSH
ON THE WATER
Job AddreSs 1941 DELAWARE ST
Designer
Category 141 - Exterior Remodeling
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner RONAA BEDUHN
Contractor WERNER HOME IMPROVEMENT
Type ~t Building
Sign (~ Canopy (~ Fence O Raze
No 0101607
Create Date 05/19/2003
Plan
Zoning
Unfinished/Basement
Finished/Living
Garage
Foundation
Occupancy Permit
Park Dedication
Class of Const:
0 Sq. Ft. Rooms 0 Height 0 Ft.
0 Sq. Ft. Bedrooms 0 Stories
0 Sq. Ft. Baths 0
0 Poured Concrete 0 Floating Slab 0 Pier (~ Other
(~) Concrete Block (~) Post (~ Treated Wood
Not Required Flood Plain Height Permit
# Dwelling Units 0 # Structures
Size
[] Projection
Canopies
Signs
0
Use/Nature
of Work
SFR/Tear off and replace existing roofing on houSe & garage.* NO STRUCTURAL WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$4,300.00 Plan Approval $0.00 Permit Fee Paid
$40.00 Park Dedication $0.00
Date 05/19/2003 Final/O.P. 00/00/0000
[] Permit Voided
In the pefforma~Of~i~ork I agree to perform all wOrk pursuant to rules governing the described construction.
Signature/' '~//'~~.~/~/~ ~ Date
% / ' (/ Agent/Owner
Address 2147 POINT COMFORT RD OSHKOSH WI 54901 - 0000 Telephone Number
236-9109
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 W,~TER
· 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
I£ vou are a contractor participating in the Permit ieee Account System and have adequate Ieunds, check.here
i£¥ou want this processed through Four account
I am the: [] Owner OR [~ntractor
eATEGORY
Family [] Duplex [] Multi-Family [] Rental [] Commercial [] Industrial
Work being done:
ROOFING
[] Tear offand replace existing roofing on ~ouse, ~garage
[] Replace wood decking
[] Add I layer of roofing to the existing
This work is being done due to [] Hail Damage [~ther
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 [] Other
dfr(s) on [] house, [] garage
When siding is done, one of the boxes below must be checked:
1) [] Eleca-ic - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND '2 Electric Installation Verification f~rm is attached OR 2 Sel~arate Elect Permit w~ be requested.
2) [] Electric - Not Applicable because: ~ J Blocks previously installed. ~ 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 $ , '-
(include fair market price for labor even if you are not paying for labor)
03/02