HomeMy WebLinkAbout0104665-Building (roof)OSHKOSH
ON THE WATER
.lob Address 436 W 17TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner MICHAELA PELKO
Contractor MADISON ROOFING
Category 141 - Exterior Remodeling
No 104665
Create Date 10/08/2003
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 Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature SFR/Tear off and replace existing roofing on house.* NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$3,836.00 Plan Approval $0.00 Permit Fee Paid
$35.00 Park Dedication $0.00
Date 10/08/2003 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.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1907 American Dr Neenah WI 54956 - 0000 Telephone Number 920-707-1939
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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
ou are a contractor artici atin in the Permit ee ~lccount S stem and have adc uate 'unds check here
"ou want this rocessed throu..h our account
~U~E CATEGORY
~ Single Family [] Duplex [] Mu]ti-Family
Work being done:
R/OOFING
iE(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 [] Hail Damage
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
[] Rental [] Commercial El Industrial
layer(s) on [] house, [] garage
!
When siding is done, one of the boxes below must be checked:
l) [] Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name o f Licensed Electric Contractor)
AND E Electric Installation Verification f~nn is attached O~R 13 Set~arate Elect Permit wffi be requested.
2) [] Electric - Not Applicable because: 12 J Blocks previously installed. I2 No outside lights. [2 Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note)
Value of the jOb $ ~ ~-9 ~ {~. 6) ~) (include fair market price for labor even if you are not paying for labor) 03/02