HomeMy WebLinkAbout0102454-Building (roof) OSHKOSH
ON THE WATER
,Job Address 1312ALGOMA BLVD
Designer
Category 141 - Extedor Remodeling
Type · Building (~ Sign
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner KENNETH/SUSAN HAIDLINGER Create Date
Contractor WERNER HOME [MPROVEMENT
Canopy (~) Fence (~) Raze
No 0102454
06/26/2003
Plan
Zoning Class of Const: Size
Unfinished/Basement 0 Sq, Ft. Rooms 0 Height 0 Ft. [] Projection r
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies 0
Garage 0 Sq. Ft. Baths 0 Signs 0
Foundation · Poured Concrete O Floating Slab
(~ Concrete Block (~) Post
Occupancy Permit Not Required
Park Dedication
Use/Nature
of Work
(~ Pier
(~) Treated Wood
Flood Plain
# Dwelling Units
(~)Other
Height Permit
0 # Structures 0
SFPJ Tear off and replace existing roofing and wood decking on the house, due to old age. *NO STRUCTURAL WORK,
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: /~1'~
Plumbing Contractor
$10,000.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided
$65.00 Park Dedication $0.00
Date 06/26/2003 Final/O.P. 00/00/0000
In the performance.e.f, this work/l/agree to pe~f(~rm all work pursuant to rules governing the described construction.
Signature ~ ~/~/¢¢,*,_ ~,~
/-- Agent/Owner
Address 2147 POINT COMFORT RD OSHKOSH WI ~901 - 0000 Telephone Number 23~9109
City of Oslxkosh
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
~ractor artici atin in the Permit ee Account ~ s~m and ~ave ade uate 'unds check here
ou want this rocessed th~ccount .~
zzc
I am the: [] Owner OR [~"C~ontractor
__US~E CATEGORY
[3'Single Family [] Duplex [] Multi-Family [] Rental
Work being dOne:
and replace existing roofing on ~ouse, [] garage
'/~ 13~eplace wood decking ~1. o~
[] Add I layer of roofing to the existing
This work is being done due to [] Hail Damage Xther
SIDING
[] Install siding on [] house, [] garage
[] Replacing vinyl with vinyl
[]Commercial El lndustrial
layer(s) on [] house, [] garage
[] Replacing steel or a!uminum 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:
1 ) [] Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name o f Licensed Electric Contractor)
AND {2 Electric Installation Verification f~rm is attached O_.~R /2 Separate Elect Permit w~ be requested.
2) [] Electric - Not Applicable because: ~ J Blocks previously installed. ~ No outside lights. I~ 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