HomeMy WebLinkAbout0102260-Building (roof)OSHKOSH
ON THE WATER
.lob .Address 1010 OTTER AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner SALLY M H JOSEPHSON/DEBORAH A
Contractor OWNER
Category 141 - Exterior Remodeling
No 0102260
Create Date 06/18/2003
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/ Removing and replacing the existing shingles on the house. No structural work.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$4,000.00 Plan Approval $0.00 Permit Fee Paid
$35.00 Park Dedication $0.00
Date 06/18/2003 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
Address 1010 OTTER AVE OSHKOSH WI 54901 - 5447 Telephone Number
OSHKOSH
ON THE WATER
Job Address 1010 OTTER AVE
Designer
Category
Type
Zoning
141 - Exterior Remodeling
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner SALLY M H JOSEPHSON/DEBORAH A
Contractor OWNER
· Building (~ Sign (~ Canopy _O Fence (~ Raze
Class of Const:
Create Date
Plan
Size
No 0102260
06/18/2003
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height
FinishedlLiving 0 Sq. Ft. Bedrooms 0 Stories
Garage 0 Sq. Ft. Baths 0
Foundation · Poured Concrete O Floating Slab (~ Pier (~ Other
0 Ft.
[] Projection J
Canopies
Signs
(~ Concrete Block O Post O Treated Wood
Occupancy Permit Flood Plain
Park Dedication # Dwelling Units 0
Use/Nature SFR/ Removing and replacing the existing shingles on the house. No structural work.
of Work
Height Permit
# Structures
HVAC Contractor
Electric Contractor
Plumbing Contractor
Fees: Valuation $4,000.00 Plan Approval
Issued By: ~'~
$0.00 Permit Fee Paid
[] Permit Voided
$35.00 Park Dedication $0.00
Date 06/18/2003 Final/O.P. 00/00/0000
In the Perf°rmance o/'s//~,,~rk [ ~a/tg~/e)e t~yCe'~o.°~_rrm ~' ~ pursuant to rules governing the described construction.
Signature ~ ~J~/~[. ~ Date
v ~ -- ~ ~ AgenVOwner
Address 1010 OTTER AVE OSHKOSH WI ~901 - ~7 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/'HKO/H
· 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 you are a contractor participating in the Permit fee Account Syste~n and have adequate funds, check here
if you want this processed through your account [~
,OBADD SS /0/dP 0
CONTEACTOR
the:
~IxOwner OR [] Conlractor
USE CATEGORY
~ingle Family [] Duplex [] Multi-Family [] Rental
[] Commercial [] Industrial
Work
being done:
ROOFING
.J~kTear offand replace existing roofing on~ house, [] garage
Jg~Replace wood decking '~J~ /I,)
[] Add 1 layer of roofing to the existing layer(s) on [] house, [] garage
This work is being done due to [] Hail Damage }gl Other
SIDING
[] Install siding on [] house, [3 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
When siding is done, one of the boxes below must be checked:
I ) [] Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications am being performed
by
(Name of Licemed Electric Conwactor)
AND ~ Electric Installation Verification f~rm is attached O~R ~ SeI3arate Elect Permit wffi be requested.
2) [] Electric - Not Applicable because: D J Blocks previously installed. D 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 $ q/~ (include fair market price for labor even if you are not paying for labor) 03/02