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0102074-Building (roof)
OSHKOSH ON THE WATER .lob .Address 1000 S SAWYER ST Designer CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner MARTHA C MILLER Contractor BLUEJAY ROOFING AND SIDING Category 141 - Exterior Remodeling No 0102074 Create Date 06/10/2003 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 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 $4,500.00 Plan Approval $0.00 Permit Fee Paid $40.00 Park Dedication $0.00 Date 06/10/2003 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 MENASHA Address 649 9TH ST WI 54952 - 0000 Telephone Number 920-725-3923 OSHKOSH ON THE WATER Job Address Designer Category Type 1000 S SAWYER ST 141 - Exterior Remodeling CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner MARTHA C MILLER Contractor BLUEJAY ROOFING AND SIDING Building .(~ Sign__ No 0102074 Create Date 06110/2003 Plan ._(~C~a..~py O Fence (~ Raze Zoning Unfinished/Basement 0 Sq, Ft. Finished/Living .... ~0 Sq. Ft. Garage 0 Sq. Ft, Foundation ~1~ Poured Concrete (~) Floating Slab ~ Concrete Block O Post Occupancy Permit Park Dedication Size Height 0 Ft. Stories Canopies 0 Signs 0 Class of Const: Rooms 0 Bedrooms 0 Baths 0 (~ Pier (~ Treated Wood Flood Plain # Dwelling Units Use/Nature of Work Other Height Permit 0 # Structures off ~ ~'~plac~ ~xisting roofing on hous~ra~? NO STRLI~T~RAL-C/~RK~ ' HVAC Contractor Electric Contractor Fees: Valuat~ Issued By: ~ $4,500.00 Plan Approval Plumbing Contractor $0.00 Permit Fee Paid $40.00 Park Dedication $0.00 Date 06/10/2003 Final/O.P. 00/00/0000 [] Permit .V.?ded In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature ~, ~L~ (¢~ Date Agent/Owner Address 649 9TH ST MENASHA WI 54952 - 0000 Telephone Number 920-725-3923 City of Oshkosh Impection Services Division P O Box 1130 Oshkosh, WI 54903-I 130 Phone: (920) 236-5050 Fax: (920) 236-5084 Roofing & Siding Permit Application ©_fHKO./H · 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 l£you are a contractor participatin~ in the Permit fee ,4ccount System and have adequate funds, check here if you want this processed through your account ~ too I am the: ~ Omer OR ~Con~actor iE CATEGORY ngle Family [] Duplex El Multi-Family [] Rental [] Commercial []Industrial Work being done: ROOFING ~Tear off and replace existing roofing on ~house, ~-garage [] Replace wood decking [] Add I 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 (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 M~ter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed by (Name o f Licensed Elec~c Contractor) AND 2 Electric Installation Verification f~rm is attached O_..~R .2 Sel~arate Elect Permit wi'Il be requested. 2) [] Electric - Not Applicable because: E J Blocks Previously installed. D No outside lights. 'E 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