HomeMy WebLinkAbout0102262-Building (roof)OSHKOSH
ON THE WATER
Job Address 1845 FABRY ST
Designer
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner MARK J/KAY M ERDMAN Create Date
Contractor PAUL KOWALSKE ROOFING
No 0102262
06/18/2003
Category 141 - Exterior Remodeling
Type
· Building ..... _(~) S~ig~n ...... (~ Canopy
Zoning ..... Class of Const:
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories
Garage 0 Sq. Ft. Baths 0
Foundation · Poured Concrete (~ Floating Slab (~ Pier (~ Other
(~ Concrete Block C) Post C) Treated Wood
Occupancy Permit Not Required Flood Plain
Park Dedication # Dwelling Units
Plan
_Fence C) Raze
0 Ft.
Use/Nature
Height Permit
0 # Structures
~e"~'and replace existing roofing on house & garage.* NO STRUCTURAL WORK.
Size
? Pr°ie~c_fi o~J
Canopies
Signs
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
Plumbing Contractor
$4,500.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided
$40.00 Park Dedication $0.00
Date 06/16/2003 Final/O.P. 00/00/0000
In the performance of this work I agree to pedorm all work pursuant to rules governing the described construction.
/ ' ' Agent/Owner
Address 628 W 9TH AVE Oshkosh W__I 54902 _ 0000 Telephone Number 920-233-4695
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
· 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 ou are a contractor artici atin in the Perrcit eeAccountS stere and haveade uate 'unds check here
i ou want this rocessedthrou h our account
I am the: [] Owner
USE CATEGORY
~Single Family [] Duplex
OR ~3/Contractor
FI Commercial Fl Industrial
[] Multi-Family [] Rental
Work being done:
ROOFING
FL~fTear off and replace existing roofing on [~]/~ouse/garage
[] Replace wood decking
[] Add 1 layer of roofing to the existing
This work is being done due to [] Hail Damage [] Other
SIDING
[] Install siding on [] house, [] garage
I-I Replacing vinyl with vinyl
El Replacing steel or a!urcinurc with vinyl (circle steel or aluminum)
[] Replacing with
This work is being done due to [] Hail Damage [] Other
layer(s) on [3 house, [] garage
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.
(Name of Licensed Eleet~c Contractor)
_AND [3 Electric Installation Verification f~rm is attached OR E Sel~amte Elect Permit wffi be requested.
2) [] Electric - Not Applicable because: 12 J Blocks previously installed. 12 No outside lights. D Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note)
Value of the jOb $ ./~,~'~/'~t~ ~ (include fair market price for labor even if you are not paying for labor) 03/02