HomeMy WebLinkAbout0112663 B
e
OSHKOSH
ON THE WATER
Job Address 426 W 17TH AVE
CITY OF OSHKOSH
No
112663
BUILDING PERMIT - APPLICATION AND RECORD
Owner
MARK D FOLAND
Create Date
02/11/2005
Designer
Contractor
RABE SIDING AND TRIM
Category
141 - Exterior Remodeling
Plan
Type
18 Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
Class of Const:
Size
Unfinished/Basement
0 Sq.Ft.
~ Sq. Ft.
Rooms 0 Height 0 Ft.
Bedrooms 0 Stories
Baths 0
U Projection 1
Finished/Living
Canopies
0
Garage
~ Sq. Ft.
Signs
0
Foundation
8 Poured Concrete 0 Floating Slab
0 Concrete Block 0 Post
0 Pier
0 Treated Wood
0 Other
Occupancy Permit
Not Required
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
0
# Structures
0
SFR/ Installing steel siding on the house and covering the soffit and fascia. The homeowner will be responsible for any associated electrical
work such as removing and replacing light fixtures.
Use/Nature
of Work
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$11,357.00
Plan Approval
$0.00 Permit Fee Paid
$84.00 Park Dedication
$0.00
Issued By:
Date 02/11/2005
Final/O.P. 00/00/0000
U Permit Voided 1
Parcelld # 0908610000
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
426 W 17TH AVE
Agent/Owner
OSHKOSH
WI 54902 - 6859 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.
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PO Bod 130
O,hkru;h WI 54903-1130
om" 920-236-5050
F.x 920-236-5084
Electric Installation Verification
{'() A íJ¡ '" t- D¡¿ 1!13 JE (0 MJJb
(print homeowner(s) name)
4~& vJ. Jf)t;k; ~) ~Yt~
(address where work is to be performed)
the homeowner(s) of
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)
i
Reconnection or new circuit for replacement Heating Plaut aud/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrauce Cable, Meter Box, alterations to receptacles
aud lighting fixtures due to siding / soffit installation. Note: New Service
Entrauce Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permauently wired
appliauces / fixtures.
New circuit for the addition of AlC to au 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 $
¿Þo
I hereby verify this work will be performed by me aud further verify the reconnection /
installation will be done in compliauce with mauufacturer aud Electric code requirements.
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Homeowner(s) Signature
(Date)
5102