HomeMy WebLinkAbout0101929-Building (roof)OSHKOSH
ON THE WATER
,lob Address 621 W 5TH AVE
CITY OF OSHKOSH No 010'1929
BUILDING PERMIT - APPLICATION AND RECORD
Owner JEFFREY R SCHMIDT ETAL Create Date 06/04/2003
Designer
Category
141 - Extedor Remodeling
Contractor
BORCHARDTCONSTRUCTIONLTD
Type · Building (~) Sign (~ Canopy (~) Fence O Raze
Zoning
Unfinished/Basement
Finished/Living
Garage
Foundation
Class of Const:
0 Sq. Ft. Rooms 0
0 Sq. Ft. Bedrooms 0
0 Sq. Ft. Baths 0
· Poured Concrete (~ Floating Slab O Pier
C) concrete Block O Post (~ Treated Wood
Not Required Flood Plain
# Dwelling Units
Occupancy Permit
Park Dedication
Use/Nature
of Work
Plan
Height
Stories
(~) Other
0 Ft.
Size
[] Projection
Canopies
Signs
Height Permit
0 # Structures 0
~FPJTear off and replace existingreoflng and wood decking on the house, due to old age. *NO STRUCTURAL WORK.
0
0
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
$3,000.00 Plan Approval
Plumbing Contractor
$0.00 Permit Fee Paid $30.00 Park Dedication $0.00
Date 06/04/2003 Finat/O.P. 00/00/0000
[] Permit Voided I
In the performance of.th~ wQ~k.[ agrej~io p,~rform all work pursuant to rules governing the described construction.
S ignatur~/e~ ~/~./.'/,,~ ~' ~ Date
C/ ~' 0¢ ~ Agent/Owner
Address 1558W 9TH AVE OSHKOSH WI 54902 - 0000 Telephone Number
232-1448
� -
. R �ci1�'<, k
w C•ItY OI�$t11C0$tl �
Inspecrion Services Division � '� <<G��
P O Box 1130 �
Oshkosh,WI54903-1130 �C��r �� `
Phone:(920)236-5050 O HKOfH
Fax:(920)236-5084
� ON THE WATER
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 participating in the Permit fee Account Svstem and have adequate funds check here
if vou want this processed through vour account (�
JOB ADDRESS tp�l L�J �� 'C►'� � �' Cs�'�(/c� �-{ (�cJ-�
; OWNER �e� S C�Y'�'� �G��
�
coNTRa►cTOR_ �a rC-h C��� Cd n C�/'u c�'�r J�
I am the: ❑ Owner OR �Contractor
,i.jSE CATEGORY
�Single Family ❑Dupiex ❑Multi-Family �Rental ❑Commercial ❑Industrial
Work being done:
R OFING
Tear off and replace existing roofing or�house,�garage
�Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,O arage
This work is being done due to�Hail Damage Other � �' l� � �
SIDING
❑Install siding on ❑house, O 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 O 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
by s
(Name of Licenced Electric Contractor)
AND ��Electric Installation Verification form is attached OR ❑Separate Elect Permit wTl 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) •
Bv
Value of the job $ ��Q G . �;(include fair market price for labor even if you are not paying for labor) 03/02