HomeMy WebLinkAbout0102788-Building (siding)OSHKOSH
ON THE WATER
,Job Address 2660 MONTCLAIR PL
Designer
Category 141 - Exterior Remodeling
Type · Building (~ Sign
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner JEFFREYNERNICE WOLFF Create Date
Contractor APPLETON ROOFING & CONTRACTING
Plan
Zoning
Unfinished/Basement 0 Sq. Ft.
Finished/Living 0 Sq. Ft.
Garage 0 Sq. Ft.
Foundation · Poured Concrete (~) Floating Slab
(~) Concrete Block (~) Post
Occupancy Permit
Park Dedication
No 0102788
07/14/2003
(~Canopy (~Fence O Raze
Class of Const: Size
Rooms 0 Height 0 Ft. [] Projection
Bedrooms 0 Stories Canopies
Baths 0 Signs
(~) Pier (~) Other
(~ Treated Wood
Flood Plain Height Permit
# Dwelling Units 0 # Structures 0
Use/Nature
of Work
SFPJ Re-siding the house and garage. No structural work. Owner is responsible for the electrical.
HVAC Contractor
Electric Contractor
Fees: Valuation ~$3,000.00 Plan Approval
Plumbing Contractor
$0.00 Permit Fee Paid
[] Permit Voided~
$30.00 Park Dedication $0.00
Date 07/14/2003 Final/O.P. 00/00/0000
In the per[ormance of this work I agree to perform all work pursuant to
Signature
~ Agent/Owner
Address 1907 AMERICAN DR NEENAH
rules governing the described construction.
Date~--
WI 54956 - 0000 Telephone Number 920-733-3002
City of Oshkosh
Inspection Services Division
POBox 1130
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 participatin~ in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account N
U~sinCATEGORY
gle Family [] Duplex [] Multi-Family [] Rental
[] Commercial [] Industrial
Work being done:
ROOFING
[] Tear offand replace existing roofing on ~ house, [] garage
[] Replace wood decking
[] Add I layer of roofing to the existing
This work is being done due to [] Hail Damage [] Other
ins ING
ta!l siding on ~house, ~garage
[] Replacing vinyl with vinyl
[] Replacing steal or aluminum with vinyl (circle steel or aluminum)
[] Replacing ff 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:
I) ~Electnc Ex~stmg Electric Meter, receptacle, hghtmg and Electric Servme entrance alteratlons/mod~ficat~ous are being performed
by
(Name of Licensed El¢ctri.~ontrac~r)
AND Dl~Electric Installation Verification f~rm is attached O~R [] Set~arate Elect Permit w~ be requested.
2) [] Electric - Not Applicable because: 12 J Blocks previously installed. [3 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 $ ~ ~4). ~O (include fair market price for labor even if you are not paying for labor) 03/02
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
· I (We)
the homeowner(s) of
Electric Installation Verification.
(print homeowner(s) name)
(ad,ess where work is to be perfom~d)
accept the responsibility for performing the electrical work as stated below for the property listed
above.
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new cimuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addifion of A/C to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single family owner occupied home. ~Vork on a condominium,
duplex, rental, or multi-use building would require a licensed master
electrician.
Other
The value of this work is $
I hereby verify this work will be performed by me and further verify the reconnection /
installation will be done in compliance with manufacturer and Electric code requirements.
(Date~
5/02