HomeMy WebLinkAbout0104653-Building (roof)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./HKOJH
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account [~
¢O 'T CTOR ,&d ,4 t i '" " "'''
I am the: ~Owner OR
[] Contractor
USE CATEGORY
~l~Single Family [] Duplex
Multi-Family [] Rental
Work being done:
ROOFING
~[ Tear off and replace existing roofing on ~' house, [] garage
[] Replace wood decking
[] Add 1 layer of roofing to the existing
This work is being done due to ]~fHail Damage )~ Other
SIDING
[] Install siding on [] house, [] garage
[] Replacing vinyl with vinyl
[] Replacing steel or aluminum with vinyl (circle steel or aluminum)
[] Replacing with
This work is being done due to [] Hail Damage 12] Other
[]Commercial []Industrial
layer(s) on [] house, [] garage
When siding is done, one of the boxes below must be checked:
1) [] Electric - Existing Electric Meter. receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
AND /D Electric Installation Verification f~rm is attached OR_ 13 Sel~arate Elect Permit will be requested.
2) [] Electric - Not Applicable because: 12 J Blocks previously installed. ID No outside lights. [3 Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note)
Value °fthe J°b$ /.~'/~[~-- (include fair market price for labor even if you are not paying for labor)
/ - v 03/02