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Home My WebLink About0099540 BOSHKOSH ON THE WATER .lob .Address 713 N SAWYER ST Designer CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner JEFFERY E NICOLAISON/KL DEER Contractor OWNER Category 141 - Exterior Remodeling No 0099540 Create Date 01/22/2003 Plan Type I(~ 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/LATE PERMIT/ Replacing existing wood siding with new vinyl siding on the house. *NO STRUCTURAL WORK. EIV form from of Work homeowner. Late fee waived per NK. HVAC Contractor Electric Contractor Fees: Valuation Issued By: Plumbing Contractor $1,500.00 Plan Approval $0.00 Permit Fee Paid $25.00 Park Dedication $0.00 Date 01/22/2003 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. Signature Date Agent/Owner Address Oshkosh WI 54901 - 0000 Telephone Number OSHKOSH ON THE WATER Job Address Designer Category 713 N SAWYER ST 141 - Exterior Remodeling Type · Building CITY OF OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD Owner JEFFERY E NICOLAISON/K L DERR Contractor OWNER Sign (~) Canopy O Fence O Raze No 0099540 Create Date 01/22/2003 Plan Zoning Unfinished/Basement Finished/Living Garage Foundation Occupancy Permit Park Dedication Class of Const: 0 Sq. Ft. Rooms 0 Height 0 Ft. 0 Sq. Ft. Bedrooms 0 Stories 0 Sq. Ft. Baths 0 · Poured Concrete O Floating Slab O Pier O Other O Concrete Block O Post (~ Treated Wood Not Required Flood Plain Height Permit # Dwelling Units 0 # Structures Size [] Projectionl Canopies 0 Signs 0 Use/Nature of Work SFR/LATE PERMIT/ Replacing existing wood siding with new vinyl siding on the house. *NO STRUCTURAL WORK. EIV form from homeoWner. Late fee waived per NK. HVAC Contractor Electric Contractor Fees: Valuation Issued By: Plumbing Contractor $1,500.00 Plan Approval $0.00 Permit Fee Paid $25.00 Park Dedication $0.00 Date 01/22/2003 Final/O.P. 00/00/0000 [] Permit Voided In the perfo~iance .,of this work I agree to perform all work pursuant to rules governing the described construction. Signature/~--~-~, ~ ~ . ~ ~ Date / ~ .... Agent/Owner Address Oshkosh WI 54901 - 0000 Telephone Number 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 TME 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 If you are a contractor participating in the Permit fee ~Iccount System and have adequate funds, check here (f you want this Processed through your account N JOB ADDRESS OWNER CONTRACTOR I am the: ' ,5~A~)mer OR [] Contractor [] Duplex USE CATEGORY (Single Family [] Multi-Family Work being done: ROOFING [] Tear offand replace existing roofing on [] house, [] garage [] Replace wood decking [] Add 1 layer of roofing to the existing This work is being done due to [] Hail Damage [] Other .~nsIDING tall siding on '~qOouse, [] garage [] Replacing vinyl with vinyl [] Rental [] Commercial [] Industrial layer(s) on [] house, [] garage [] Replacing steel or aluminum with vinyl (cirqle steel or aluminum) '~eplacing x_.L~}__.,~-,:pw_~ .~_ x.,~3 e~ ~ ¢~ with \f ' This work is being done due to [] Hail Damage [] Other When siding is done, one of the boxes below must be checked: 1) ectric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed by (Name of Licensed Electric Contractor) AND ~Electric Installation Verification f~rm is attached O~R [] SeI~arate Elect Permit wffi be requested. 2) [] Electric - Not Applicable because: [] J Blocks previously installed. [] No outside lights. [] Other [] Install new or [] Replace gutters [] Install new or [] Replace downspouts Other related work being done: (please note) Value of the job $ ~ (include fair market price for labor even if you are not paying for labor) 03/02 O/HKO/H City of Oshkosh Division of Inspection Services 215 Church Avenue POBox 1130 Oshkosh WI 54903-1130 Office 920-236-5050 Fax 920-236-5084 Electric Installation Verification (We) / (print homeowner(s) name) the homeowner(s) of ~ ! ~ (address where w/ork 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) Reconnecfion 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. ___~ 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 $. ~o 00 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. Q~r{aeowner(s) Signature (Date) 5/O2