HomeMy WebLinkAbout2007-Building (siding)
e
OSHKOSH
ON THE WATER
Job Address 1137 ADAMS AVE
CITY OF OSHKOSH No 125001
BUILDING PERMIT - APPLICATION AND RECORD
Owner DANA A KIMBAll Create Date OS/25/2007
Designer
Contractor OWNER
Category
141 _ Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Garage
Sq.Ft.
Sq.Ft.
Sq.Ft.
Rooms
Height
Ft.
o Projection I
Unfinished/Basement
Finished/Living
Bedrooms
Stories
Canopies
Baths
Signs
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit Not Required
Flood Plain
Height Permit
Use/Nature ~FR / INSTAll VINYL SIDING ON HOUSE AND GARAGE, NO STRUCTURAL CHANGES, EIV SIGNED BY THE HOMEOWNER
of Work DANA KIMBAll
o
# Structures
o
Park Dedication
# Dwelling Units
HV AC Contractor
Plumbing Contractor
Electric Contractor
$0.00 Permit Fee Paid
$46.00 Park Dedication
$0.00
Fees' valua~~
IssUled By:
Plan Approval
Date OS/25/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1605720000
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 s?1 any necess~~~fore starting such activity.
Signature ~ /~ Date 5J')S-Ol
Agent/Owner
1137 ADAMS AVE
OSHKOSH
WI 54902 - 3417
Telephone Number
Address
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
~
OfHKOfH
ON THE 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 withoutpermit(s) will result in fees being doubled or $100.00 pluS the
normal permit fee, which ever is greater.
OR .
[fvouare a contractor participatinf!: in the Permit fee Account Svstem and have adequate funds. check here
i~r~ou want thisvrocessed throuf!:h vour account n . ..
. JOB ADDRESS \ )~2) .7 f\ Jet ,"1\ 5 .. Pf.ve ..
OWNER Den q ([ ~ lY1 bOt 1 \
CONTRACTOR
I am the:
<t(Owner
OR
o Contractor
p-~ CATEGORY
~Single Family . 0 Duplex .
o Multi-Family
o Rental
o Commercial
o Industrial
Work being ~one:
ROOFING
o Tear off and replace existing roofing on 0 house, 0 garage
o Replace wood decking
o Add 1 layer of roofing to the existing
This work is being done due to 0 rtail Damage 0 Other
layer( s) ono house, 0 garage
SIDING
d1 Install siding on t(house, - ~ garage
o Replacing vinyl with vinyl
o Replacing steel or aluminum with vinyl (circ1este~1 or aluminum) ..
~Replacing (\!"'Q 5(, !\.,~ e - with ()~. 0 Y I.
This work is being done due to 0 Hail Damage g'Other r(e r)("./f\ ~ l J"SE>
When siding is done; one of the boxes below must be checked:
. 1) gElectric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alte~tionslmodifications are being performed
by
(Name ofUceused Electric Contractor)
AND 0 Electric Installation Verification form is attached OR
o SeParate Elect Permit wt1l be requested.
. 2) 0 Electric:'- Not Applicable because: 0 J Blocks previously installed. 0 No outside lightS. 0 Other
o Install new or 0 Replace gutters
o Install new or 0 Replace downspouts
Other related work being done: (please note)
.Value of the job $ Lt bOO
. . l
(include fair market price for labor even if you are not paying for labor)
03/02
~
OJHKOfH
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
E.l leecctt9~icJ>-l~llStnstJ llation Verification
I(We)~l)o~ ~
(print homeowner( s) name)
the homeowner(s) of { \ ~ I AdulY\"S -Pi --Q. ,
(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)
x
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 $ S c)
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.
(2C0-40
. . Homeowner( s) Signature
5~'l~'.Ol
(Date)
5/02