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HomeMy WebLinkAbout0103813 BOSHKOSH ON THE WATER .lob Address 1763 LOMBARD AVE Designer CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner THOMAS L MATSCHE Contractor OWNER Category 141 - Exterior Remodeling No 103813 Create Date 08/29/2003 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 Not Required Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use/Nature SFR/Replace existing pressboard siding on house & garage with vinyl.* Homeowner EIV form attached. of Work HVAC Contractor Electric Contractor Fees: Valuation Issued By: Plumbing Contractor $3,000.00 Plan Approval $0.00 Permit Fee Paid $30.00 Park Dedication $0.00 Date 08/29/2003 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. 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 Agent/Owner Address 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. OSHKOSH ON THE WATER .lob Address 1763 LOMBARD AVE Designer Category Type Zoning CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner THOMAS L MATSCHE Contractor OWNER Create Date 141 - Extedor Remodeling Plan O Building O Sign (~) Canopy (~ Fence O Raze Class of Const: Size Unfinished/Basement 0 Sq. Ft. Finished/Living 0 Sq. Ft. Garage 0 Sq. Ft. Foundation O Poured Concrete (~) Floating Slab (~ Concrete Block (~ Post Occupancy Permit Not Required Park Dedication No 103813 08~29~2003 Rooms 0 Height 0 Ft. [] Projection J Bedrooms 0 Stories Canopies Baths 0 Signs O Pier O Other O Treated Wood Flood Plain Height Permit Ct Dwelling Units 0 Ct Structures 0 Use/Nature SFR/Replace existing pressboard siding on house & garage with Vinyl.* Homeowner EIV form attached. of Work HVAC Contractor Electric Contractor Fees: Valuation Issued By:~ $3,000.00 Plan Approval Plumbing Contractor $0.00 Permit Fee Paid $30.00 Park Dedication $0.00 Date 08/29/2003 FinallO.P. 00/00/0000 [] Permit Voided J 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 sec~_L.qrc~ny necessa~.~y_~pgrovals bz~fore starting such activity. Signature _~-"--/'~¢"~-~¢~' ~ ~_,~ Date ,~- Agent/Owner Address Oshkosh WI 54901-0000 Telephone Number C~,~-,~/~ ~ To schedule inspections please call the Inspection Request line at 236-5t28 notin~l 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. O/HKO/H City of Oshkosh Division of lnspecfion Services 215 Church Avenue POBox 1130 Oshkosh WI 54903-1130 Office 920-236-5050 Fax 920-236-5084 Electric Installation Verification I (We) /-Pt OM a .5 the homeowner(s) of (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 ne~v circuit 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 Serrice 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 wouM require a licensed master electrician. Other The value of this work is $ /(~O, O Cb ! 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) S~gnature (Date) 5/02 City of Oshkosh Inspection Services Division P O Box 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 WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR lf you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account [~ CONTRACTOR I am the: USE CATEGORY Single Family Work being done: ROOFING [] Tear offand replace existing roofing on i-I house, [] garage [] Replace wood decking [] Add 1 layer of roofing to the existing This work is being done due to [] Hail Damage [] Other ~Install siding on J~lhouse, .~arage ~ ~.~A/: [] Replacing vinyl with vinyl f? ~[ [] Replacing steel or aluminum with vinyl (circle steel or aluminum~ [] Replacing with This work is being done due to [] Hail Damage [] Other /[~Owner OR [] Contxactor [] Duplex [] Multi-Family [] Rental [] Commercial [] Indus,'iai layer(s) on [] house. [] garage When siding is done, one of the boxes below must be checked: 1 ) [] Eleclric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed by (Name of Licensed Elec~c Con~etor) AND [3 Electric Installation Verification f~rm is attached OR 2 Sel~arate Elect Permit wffi be requested. 2) [] Electric - Not Applicable because: D J Blocks previously installed. [3 No outside lights. [3 Other [] Install new or O Replace gutters [] Install new or [] Replace downspouts Other related work being done: (please note) Valueofthejob$ ~,(~D©, (90 (includefairmarketpriceforlaborevenifyouarenotpayingforlabor) 03/02