HomeMy WebLinkAbout0106816 B(~ CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1838 MOUNT VERNON ST Owner MYLES/ALFRIEDA LEUTHOLD TRUST
Designer Contractor OWNER
Category 141 - Exterior Remodeling
No 106816
Create Date 03/08/2004
Plan
Type 10 Building ~ Sign ~ Canopy ~ Fence ~ Raze
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 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 SFR/Replace existing hardboard siding on garage with vinyl (will install plywood sheathing).* Homeowner EIV form. NO STRUCTURAL
of Work WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$2,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$32.00 Park Dedication $0.00
Date 03/08/2004 Final/O.P. 00/00/0000
Parcel Id # 1503280000
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 party, 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.
Signature Date
Address
Agent/Owner
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.
Q City o f Oslfl<osh
Division of Inspection Services
215 Chumh Avenue
PO Box 1130
Oshkosh WI 54903-1130
O/HKO/H 20- 3 -5050
Electric Installation Verification
(print homeowner(s) name)
the homeowner(s)of / ~'~ ~_~ ~ /b~ ?- y~,d,/tXD~/r ~ ~':
(address where work is to be performed)
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 circuit for replacement Heating Plant and/or A/C Condenser.
__ Recormection or new circuit for replacement Electric Water Heater or power vented
/ water heater.
7: Reconnection of the Service Entrance Cable, Meter Box, to receptacles
alterations
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 addition 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. Work on a condominium,
duplex, rental, or multi-use building would require a licensed master
electrician.
Other
The value of this work is $
~'~owner(s) Signature
(Date)
5/02