HomeMy WebLinkAbout0102590-Building (roof/siding)OSHKOSH
ON THE WATER
.lob .Address 2633 W 9TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner LEON A/SUSAN C CHOLEWlNSKI
Contractor RELIABLE BUILDERS
Category 141 - Exterior Remodeling
No 0102590
Create Date 07/02/2003
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
of Work
SFR/Tear off and replace existing roofing on house & garage. Replace existing vinyl siding with new vinyl on house & garage. Add 1/2 foam
insulation and wrap door and windows. Replace gutters and downspouts.* Separate Electrical Permit to be taken out by Town & Country
Electric. NO STRUCTURAL WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$9,500.00 Plan Approval $0.00 Permit Fee Paid
$65.00 Park Dedication $0.00
Date 07/02/2003 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.
Signature
Date
Agent/Owner
APPLETON
Address 4425 W PROSPECT AVE WI 54914 - 0000 Telephone Number
OSHKOSH
ON THE WATER
Job Address 2633 W 9TH AVE
Designer
Category
Type
141; Extedor Remodeling
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner LEON A/SUSAN C CHOLEWINSKI
Contractor RELIABLE BUILDERS
· Building O Sign (~ Canopy (~ Fence O Raze
No 0102590
Create Date 07/02/2003
Plan
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. [] Projection
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies __
Garage 0 Sq. Ft. Baths 0 Signs
Foundation · Poured Concrete O Floating Slab (~ Pier (~ Other
(~) Concrete Block (~) Post (~ Treated Wood
Occupancy Permit Not Required Flood Plain __ Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
0
0
Use/Nature
of Work
BFPJTear off and replace existing rooting on house & garage. Replace existing vinyl siding with new vinyl on house & garage. Add 1/2
'oam insulation and wrap door and windows. Replace gutters and downspouts.* Separate E ectrical permit to be taken out by Town &
2ountry Electric. NO STRUCTURAL WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: .~
$9,500.00 Plan Approval
Plumbing Contractor
$0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Date 07/02/2003 Final/O.P, 00/00/0000
[] Permit Voided j
[n the pedormance ofthisworklagree to pedormallwork pursuantto rules goveming the described censtruction.
Signature ~--~ ~ Date
AgenFOwner
Address 4425WPROSPECT AVE APPLETON WI 54914 - 0000 Telephone Number
City of Ost~kosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
O/HKO/H
ON THE WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh Wl 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
lf vou are a contractor participatin~ in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account [~
JOB ADDRESS
OWNER
CONTRACTOR
I am the:
[] Owner OR [] Contractor
USE CATEGORY
[] Single Family [] Duplex Fl Multi-Family Fl Rental
Work being done:
ROOFING
~Tear off and replace existing roofing on I~l'house. l~g'~rage
[] Replace wood decking
[] Add 1 layer of roofing to the existing
This work is being done due to [] Hail Damage l[~Dthar
SIDING
/~l~tall siding on [~kouse. ~age
~[~eplacing vinyl with vinyl
El Replacing steel or aluminum with vinyl (circle steel or aluminum)
[3-Replacing with
This work is being done due to [] Hail Damage I~ther ~
[]Commercial []Industrial
layer(s) on [] house, [] garage
When siding is done, one of the boxes below must be checked:
1 ) [~l~ctric - Existing Electric Meter, receptacle, tighting and Electric Service entrance alterations/modifications are being performed
(Name of Licensed ElecuSc Conlractor) -
AND [3 Electric Installation Verification form ~s attached O~R [3 Separate Elect Permit wffi be requested.
2) [] Electric - Not Applicable because: [] J Blocks previously installed. E No outside lights. [] Other
[] Install new or [ll~'e~cflace gutters
[] Install new or I]3'Replace downspouts
Other related work being done: (please note)
VaLue of the jOb $ ~} ~"~6', -'"- (include fair market price for labor even if you are not paying for labor) 03/02
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-$050
Fax: (920) 236-5084
O/HKO/H
Building Permit Application oN THE W^TER
If ~ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ['~
I am the: [] Owner OR ·/_~-t~ontractor
ATEGORY
e Family []Duplex []Multi-Family []Rental r-lCommercial Fllndustrial
Work being done: [] Addition
[] External Remodeling
[] Handicap Ramp
[] Sign/Canopy/Awning
[] Swimming Pool
[] Deck/Porch/Patio
[~ Fence/Hedge/Kennel
[] Hot Tub/Spa
[] Stair/Handrail
13 Wrecking Permit
[] Driveway/Parking
[] Garage/Utility Structure
[] Internal Remodeling
[] Stove/Fireplace
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
· I. Full description of work being done: .~. o[ ~ l~-,x ,.--J ~,-,~, ~ ~ ~
Any work not included in this application is not permitted.
Value of the job $ ~! q~ff' ~'C/ (va~e for m~tem~s ~.a ~abor i~ r~q.i~a to ensure ¢o.sist~.oyi. ~ssi. S p~mit f*~s ~o~ a,
applicants.)
PLEASE READ, SIGN, & DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Name: '~/ ~~'~fint)
Signature: f~
Date: 7- ~9- ~ 3
3/02