HomeMy WebLinkAbout0103142-Building (siding & roof)No ~03142
CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
JobAddress 1411 POWERS ST Owner MARC J F[ORELLO Create Date 07/28/2003
Designer Contractor OWNER
Category 141 - Exterior Remodeling Plan
Type · Building (~ Sign (~ Canopy (~ Fence O Raze
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. [] Projection I
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies
Garage 0 Sq. Ft. Baths 0 Signs
Foundation · Poured Concrete C) Floating Slab O 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
SFR/Replacing existing wood siding with new vinyl siding on the house and garage. Tear off and replace existing roofing and wood
:~ecking on the house and garage. *NO STRUCTURAL WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
$5,500.00 Plan Approval
Plumbing Contractor
$0.00 Permit Fee Paid $45.00 Park Dedication $0.00
Date 07/28/2003 Final/O.P. 00/00/0000
[] Permit Voided I
In the performance of this work I agree to pe~c)C)cm all work pursuant to
Sig nature ~'~ ,~,------ ~
]~ / Agent/Owner
Address 1411 POWERS ST OSHKOSH
roles governing the described construction.
Date
WI 54901 - 3062 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
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
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 your account ~
OWNER .~ f'~.. /~ f~./~?
CONTRACTOR
I am the: ~Owner OR [] Contractor
USE CATEGORY
[~tngle Family [] Duplex
[] Multi-Family [] Rental
Commercial
[] Industrial
Work being done:
ROOFING
~Tear off and replace existing roofing on ~ouse, ~rgarage
[~eplace wood decking
[] Add I layer of roofing to the existing
This work is being done due to [] Hail Damage ~ther
SIDING
~nnstall siding on [~ouse, ~garage
[] Replacing vinyl with vinyl
layer(s) on [] house, FI garage
/~Replacing steel or aluminum with vinyl (circle steel or aluminum)
Rep'acing with
/This work is being done Rue t~ [] Hail Damage [] Other
When, siding is done, one of the boxes below must be checked:
1) XElectfic - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
(by'~
(Narne~ Licensed E~k~ria Con.actor)
AND ~.~Electric Installation Verification f~rm is attached OR [] Set~arate Elect Permit wffi be requested.
[
2) [] Etectrie - Not Applicable because: B J Blocks previously installed. 12 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 $ ~--~-D O ~ (include fair market price for labor even if you are not paying for labor) 03/02
City of Oshkosh
Division of Ivspecfion Seofices
215 Ghur~h Avenue
PO Box ! 130
Oshkosh WI 54903-1130
I (We)
the homeowner(s) of
Electric Installation Verification
(print homeowner(s) name)
(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.
Reconnection or new circuit for replacement Electric Water Heater or power vented
'"water heater.
t,,-' Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding/soffit installation. Note: New Service
t__~R Entrance Cables will require a separate permit.
econnection 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.
The value of this work is $ /~?~-~ °'-~-~
I hereby verify this work will be performed by me and further verify the reeonnection /
installation will be done in compliance with manufacturer and Electric code requirements.
Homeowner(s) Signature
(Date)