HomeMy WebLinkAbout0102656-Building (roof)OSHKOSH
ON THE WATER
Job Address 728 EVANS ST
Designer
Category 141 - Exterior Remodeling
Type · Building (~ Sign
Zoning
Unfinished/Basement 0 Sq. Ft.
Finished/Living 0 Sq. Ft.
Garage 0 Sq. Ft.
· Poured Concrete (~) Floating Slab
(~ Concrete Block O Post
Foundation
Occupancy Permit Not Required
Park Dedication
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner MARK F/TRACY Z SUMMERVILLE Create Date
Contractor OWNER
No 0102656
07/07/2003
Plan
Canopy (~) Fence O Raze
Class of Const:
Rooms 0 Height
Bedrooms 0 Stories
Baths 0
(~) Pier O Other
O Treated Wood
Flood Plain
# Dwelling Units 0
0 Ft.
Size
[] Projection
Canopies 0
Signs 0
Height Permit
# Structures 0
Use/Nature
of Work
SFP,/Tear off and replace existing roofing and some wood decking on the house, due to old age. *NO STRUCTURAL WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
$4,000.00 Plan Approval
Plumbing Contractor
$0.00 Permit Fee Paid $35.00 Park Dedication $0.00
Date 07/07/2003 Final/O.P. 00/00/0000
[] Permit VoidedJ
In the pefi~orr~ance of this Ark I agree to perfor,~,lall work pursuant to
~ ' / ~ " Agen~ner
Address 728 EVANS ST OSHKOSH
rules goveming the described construction.
WI 54901 - 4661 Telephone Number
City of Oshkosh
Inspection Services Division
P O Box I 130
Oshkosh, WI 54903-I 130
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through wour account N
I am the: R~ Owner OR [] Contractor
USE CATEGORY
~Single Family [] Duplex
[] Multi-Family [] Rental [] Commercial [] Industrial
Work being done:
ROOFING
~I Tear off and replace existing roofing on ~ house, [] garage
~ Replacet~ood decking
[] Add 1 layer of roofing to the existing
This work is being done due to [] Hail Damage
SIDING
[] Install siding on [] house, [] garage
[] Replacing vinyl with vinyl
[] Replacing steel or aluminum with vinyl (cimle steel or aluminum)
[] Replacing with
This work is being done due to [] Hail Damage [] Other
layer(s) on [] house, [] garage
~[ Other /~t ~.~
When siding is done, one of the boxes below must be checked:
1 ) [] Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Elec~c Contractor)
AND [21 Electric Installation Verification f~rm is attached O~R [] SeI~arate Elect Permit will be requested.
2) [] Electric - Not Applicable because: [3 J Blocks previously installed. B No outside lights. [] Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note)
ValueofthejOb$ ~ 0~l~) ~ (include fair market price for labor even ifyou are not paying for labor) 03/02