HomeMy WebLinkAbout0107259-Building (roof & siding)OSHKOSH
ON THE WATER
.lob Address 81 MYRNA JANE DR
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner HAROLD/DIANA PETRI JR
Contractor OWNER
Category 141 - Exterior Remodeling
No 107259
Create Date 04/06/2004
Plan
Type [(~ 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 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature SFR / TEARING 1 LAYER OFF ROOF & REPLACING, RESIDING HOUSE & GARAGE, NO STRUCTURAL CHANGES
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$6,100.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$56.00 Park Dedication $0.00
Date 04/06/2004 Final/O.P. 00/00/0000
Parcel Id # 1417340000
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.
City of Oshkosh
Division o f Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903=1130
Office 920-236-5050
Electric Installation Verification
(print homeowner(s) name)
the homeowner(s) of
' ~-(ad~s where work is to be perfomed)
accept the responsibility for performing the electrical work as stated below for the property listed
above.
The nature of the work consists off (Check One or Describe the Nature of Work)
__ Recormection 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.
__ Recormection 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 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 $.
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.
Homeowner(s) Signature
(Date)
5/02