HomeMy WebLinkAbout0090739-Building (siding)
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OSHKOSH
ON THE WATER
Job Address 10 FARMSTEAD LN
CIT.Y OF J)SHKOSH t5 ' lff 2--~
BUILDING PERMIT - APPLICATION AND RECORD
No 0090739
Owner HEATH W/TONJA M BARBAZON
Create Date 10/22/2001
Designer
Contractor IMPROV-IT.COM
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy o Fence o Raze
Class of Const:
Rooms Height Ft.
- -
Bedrooms Stories
-
Baths
-
Size
Zoning
Sq.Ft.
Sq. Ft.
o Projection I
U nfi nis hed/Basement
Finished/Living
Canopies
Garage
Sq.Ft.
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Not Required
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature SFR/Replace aluminum siding on house with vinyl.* (NO STRUCTURAL WORK) Ace Electric EIV form attached.
of Work
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
$4,312.50 Plan Approval
$0.00 Permit Fee Paid
$40.00 Park Dedication
$0.00
Date 10/22/2001
FinaI/O.P.
o Permit Voided I
In the performance of this wGrk I agree to perform all work pursuant to rules governing the described construction.
S'gnato,. ~ "'~
Address 410 E FOREST AVE
Agent/Owner
Date ~d:}~)
NEENAH
WI 54956 - 0000
Telephone Number
920-231-2060 M920-'
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Check all applicable baKes and fill olJt as much Information as possible. Thank you,
1
2
ID FAf2.JVl5~-C2=:>H~J..)
- -
The Property is owned by -rDf\JJ; '5 f2A~'ZC;JU
Address of Property
3
4
5
6
I am the 0 Owner OR I am the t( Contractor
The contractor doing the work is .IMPRDVE. - IT / Os H KoC>::>l-\1<c;:DF JNCs ~ 5, 0 'N6r-
, /
This Is a D,Single Family Residence, 0 Rental, Cl Commercial
Work being done:
ROOFING
o Tea~ off and replace existing roofing on 0 house. CJ garage
o Replace wood decking
o Add 1 layer of roofing to the existing .Iayer(s) on CJ house, CJ garage
This work is being done due to Cl Hail Damage 0 Other
SIDING
l1'nstall siding on ~ house. Clgarage
o Replacing vinyl with vinyl
o Replacing steel ~ith vinyl (circle steel or aluminum)
o Replacing with
This work is being done due to 0 Hail Damage CJ Other
When siding is dons, one of the boxes below must be checked: _, ef /'. lC.-_
'~ Electric - Electric Meter, receptacle, lighting and ElectrIc servicthiifrance DAJ
alterations/modifications are being performed by ACJ:- C~"1
Electric InstallatlonVerification form is attached (NameofUoensed aeQltIOCO~)
, GJ JM 06~ Tf10'_
D Electric - not applicable
o Install new or CJ Replace gutters
o Install new or 0 Replace downspouts
, Cl Other work being done: (please note)
Value of the job $ 43J~$
not paying for labor)
(include fair market price for labor even if you are
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ON THE WATER
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City of Oshkosh
Division oflnspection Services
215 Chlll'Ch Avenue
POBox 1J30
Oshkosh WI 54902.1130
Office 920.236-5050
Fax 920.236-5084
(I) (We)
ff'(!k,
Electric Installation Verification
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t;::::.( eaf/" L-,
-~{!!{;AfS're~tte:::;pf 0 Ai
(Electrical CQ,ntractor Name)
1~4 mT VerLA/OAf D':+~-DSH LV)
(Address)- (City) (State) (Zip Code)
have been cont!acted to perfonn electric installation work for J mprove- It / ()sl--/-i.-:{)$;j-j 'f-CL~{:'
(Name of party c06tracted to) "TS I &/ (u.~
at the following address: ID.t="A i2. M t:>-rtAD - 08H ~ J;-j
(Address where work will he perfonned)
0Lt7() )
The nature of the work consists of: (Check One or Describe the N~ture of Work)
~
Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric 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 pennit.
Reconnection or new 'circuit for other permanently wired appliances / fixtures.
Other
The value of this work is $ ::fat>.. C1f)
I hereby verify this work will be perfonned by an employee of this company and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
'.....
\ l m Q5 k"r tel.
(Print Name of Offi
/0.1.())
(Date)