HomeMy WebLinkAbout0099695-Building (siding)OSHKOSH
ON THE WATER
.lob Address 2791 FOND DU LAC RD
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner GARY CAREY
Contractor OWNER
Category 141 - Exterior Remodeling
No 0099695
Create Date 02/05/2003
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/Replacing wood siding with new vinyl siding on the house and attached garage. *NO STRUCTURAL WORK. Electric work being done
of Work by Gary Carey. Permit issued to & EIV form signed by mortage holder.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$2,000.00 Plan Approval $0.00 Permit Fee Paid
$25.00 Park Dedication $0.00
Date 02/05/2003 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
Oshkosh
Address 2791 FOND DU LAC RD WI 54902 - 7222 Telephone Number
OSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
2791 FOND DU LAC RD
141 - Extedor Remodeling
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner GARY CAREY
Contractor OWNER
Building O Sign O Canopy O Fence O Raze
No 0099695
Create Date 02/05/2003
Plan
Zoning Class of Const:
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft.
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories
Garage 0 Sq. Ft. Baths 0
Foundation ~I Poured Concrete O Floating Slab O Pier O Other
O Concrete Block (~ Post (~ Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures
Size
[] Projection ]
Canopies 0
Signs 0
0
Use/Nature SFPJ Replacing wood siding with new vinyl siding on the house and attached garage. *NO STRUCTURAL WORK. Electdc work being
of Work done by Gary Carey. Permit issued to & EIV form signed by mortage holder.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: K[/~
Plumbing Contractor
$2,000.00 Plan Approval $0.00 Permit Fee Paid
$25.00 Park Dedication $0.00
Date 02/05/2003 Final/O.P. 00/00/0000
[] Permit VoidedI
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature~vj~.~.~/~:~~ ¢/ .J~'~.d~4_.-Agent/Owner Date
Address 2791 FOND DU LAC RD Oshkosh WI 54902 - 7222 Telephone Number
O/HKO/H
ON THE 'WATER
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
I (We)
Electric Installation Verification
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)
Recormection 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.
Reconnection 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 fin'ther verify the reconnection /
installation will be done in compliance with manufacturer and Electric code requirements.
Homeowner(s) Signature
(Date)
5/02