HomeMy WebLinkAbout0104411-Building (roof) CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
JobAddress 1204 GLENAVE Owner MICHAEL R/KRIST PACER
Designer Contractor OWNER
Category 141 - Exterior Remodeling
Type · Building O Sign C) Canopy C) Fence C) Raze
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 · Poured Concrete C) Floating Slab C) Pier C) Other
C) Concrete Block C) Post (~ Treated Woad
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures
No 104411
Create Date 09/25/2003
Plan
Size
0
[] Projection
Canopies
Signs
0
0
Use/Nature SFR/Tear off and replace existing roofing on the house. *NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
$3,800.00 Plan Approval
Plumbing Contractor
$0.00 Permit Fee Paid $35.00 Park Dedication $0.00
Date 09/25/2003 Final/O.P. 00/00/0000
[] Permit VoidedI
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enfome easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s)~atd to sj~c,/)j~re any ne~,ssal~ap_p~va_~ls before starting such activity.
Signatur~ Y/,//~/f~/f~/,~ [ul.~.-..~ ~ Date c~--~O~
J'~' ( '---- ~-" -- Agent/Owner
Address 1204 GLEN AVE OSHKOSH WI 54902 - 5629 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
O/HKO/H
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Serviees, 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
lf ¥ou are a contractor participatin~ in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account [~
CONTRACTOR
I am the: ~],Owner OR [] Contractor
USE CATEGORY
Jffi~ingle Family [] Duplex
[] Multi-Family [] Rental
[] Commercial
[] Industrial
Work being done:
OFING
off and replace existing roofing on'~ house, [] garage
ace wood decking
[] Add 1 layer of roofing to the existing
This work is being done due to [] Hail Damage ~Other
SIDING
layer(s) on [] house, [] garage
[] Install siding on [] house. [] garage
[] Replacing vinyl with vinyl
[] Replacing steel or aluminum with vinyl (circle steel or aluminuml
[] Replacing with
This work is being done due to [] Hail Damage [] 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
CName of Licensed Electric Contractor ~
AND [2 Electric Installation Verification f~rm is attached OR [3 SeI~arate Elect Permit will be requested.
2) [] Electric- Not Applicable because: [2 J Blocks previously installed. [3 No outside lights. [3 Other
[] Install ne~
[] Install new~
Other related work being done: (please note)
Value of the job $ 6.~ ~r~ ~ (include fair market price for tabor even if you are not paying for labor) 03/02