HomeMy WebLinkAbout0113516 B
e
OSHKOSH
ON THE WATER
Job Address 1002 S SAWYER ST
CITY OF OSHKOSH
No
113516
BUILDING PERMIT - APPLICATION AND RECORD
Owner
JOHN R/SHELLEY MATSCHI
Create Date
04/18/2005
Designer
Contractor
OWNER
Category
141 - Exterior Remodeling
Plan
Type
18 Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
Class of Const:
VB
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 No
Height Permit Not Required
Park Dedication
Not Required
# Dwelling Units
0
# Structures
0
SFR/ Install vinyl siding on house and garage. EIV provided by owner.
Use/Nature
of Work
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$6,000.00
Plan Approval
$0.00 Permit Fee Paid
$50.00 Park Dedication
$0.00
Issued By:
Date 04/18/2005
Final/O.P. 00/00/0000
U Permit Voided 1
Parcelld # 1307430100
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
1002 S SAWYER ST
Agent/Owner
OSHKOSH
WI 54902 - 6260 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.
~
OfHKO/H
ON m, WAm
CityofO,hlw,h
Divi,ion on_otion S,~i",
215 Chureh Avon",
POBox 1130
O,,",o,b WI 54903.1130
Offi", 920-236-5050
P.x 920.236.5084
Electric Installation Verification
I (~ ~'f>Y' ~ 'CJlr-Q \.l~ yYJG.f-rx '" í
(print homeowner(s) name)
thehomeowner(s)of ()D~
hC\\I4Ñ"\ ~Aw~ fir bL
(address where work i 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 AlC 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 AlC 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 further verify the reconnection /
installation will be done in compliance with manufacturer and Electric code requirements.
~ d ýY)~ '
. H owner(s) Signature
4¡1'J/oS
(Date)
5/02