HomeMy WebLinkAbout0105275-Building (roof)City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosk, Wl 54903-I130
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 System and have adequate funds, check here
if you want this processed through your account [~
JOB ADDRESS ~/~5~--' ~A*,~/' r-7
the: [] Owner O~ ~ Contractor
USE CATEGORY
[] Single Family El Duplex
Multi-Family [] Rental
[] Commercial
[] Industrial
Work being done:
ROOFING
ill'Tear offand replace existing roofing on ]~1 house, [] garage
~1 Replace wood decking
[] Add I layer of roofing to the existing
This work is being done due m [] Hail 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 [] Other
layer(s) on [] house. [] garage
When siding is done, one of the boxes below must be checked:
1) [] Electric - Existing Electric Me[er. receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
AND [] Electric Installation Verification f~rm is attached OR_ [] Sel~arate Elect Permit wffi be requested.
2) [] Electric - Not Applicable because: 13 J Blocks previously installed. 12 No outside lights. [3 Other
[] Install new or [] Replace guners
[] Install new or [] Replace downspouts
Other related work being done: (please note)
Value of the j ob $ '-~.~ ~ t59C9 - (include fair markel price for labor even if you are no, paying for labor) 03/02