HomeMy WebLinkAbout0104599-Building (roof)OSHKOSH
ON THE WATER
Job Address 133 BROCKWAY AVE
Designer
Category 141 - Exterior Remodeling
Type · Building (~ Sign
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner STEVEN K W[EGMANN
Contractor OWNER
(~Canopy O Fence O Raze
No 104599
Create Date 10/07/2003
Plan
Zoning Class of Const:
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft.
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories
Garage 0 Sq. Ft. Baths 0
Foundation · Poured Concrete (~ Floating Slab (~ Pier O Other
C) concrete Block O Post (~ Treated Wood
Occupancy Permit Not Required Flood Plain __ Height Permit
Park Dedication # Dwelling Units 0 # Structures
Size
_E~ Projection
Canopies
Signs
0
0
0
~FRFi'ear off and replace existing roofing on house.* NO STRUCTURAL WORK.
Use/Nature
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation $11,000.00 Plan Approval
Issued By: ~,~ ~-, ~
Plumbing Contractor
$0.00 Permit Fee Paid
[] Permit Voided
$68.00 Park Dedication $0.00
Date 10/07/2003 Final/O.P. 00/00/0000
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 par[y, 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.
Date
Signature
Address
AgentJOwner
Oshkosh WI 54901 - 0000 Telephone Number
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
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 [unds, check here
if you want this processed through Four account [~
JOB ADDRESS
OWNER
CONTRACTOR
I am the: [] Owner OR [] Contractor
USE CATEGORY
~ Single Family rn Duplex
[] Multi-Family [] Rental [] Commercial [] Industrial
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 [] 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 Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
{Name o f Licemed Electhc Contractor)
AND [] Electric Installation Verification f~rm is attached OR [] Sel3arate Elect Permit wffi be requested.
2) [] Electric - Not Applicable because: [5 J Blocks previously installed. [] No outside lights. [] 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 ifyou are not paying for labor) 03/02