HomeMy WebLinkAbout0090332-Building (roof & siding)
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OSHKOSH
ON THE WATER
Job Address 910 HUNTINGTON PL
CITY OF OSHKOSH
No 0090332
BUILDING PERMIT - APPLICATION AND RECORD
Owner ALLEN F & PAT ACKERMAN
Create Date 10/09/2001
Designer
Contractor COPS CONSTRUCTION INC
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Sq.Ft.
Sq.Ft.
Rooms
Height Ft.
D Projection I
Unfinished/Basement
Finished/Living
Bedrooms
Stories
Canopies
Garage
Sq.Ft.
Baths
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 ~FR/ Tear off and replace existing roof on house and garage, due to hail damage. Replacing existing alum. siding with new alum., due to
of Work hail damage. -NO STRUCTURAL WORK. EIV form from Hauser Electric.
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
Issued By: ~~
$18,516.00 Plan Approval
$0.00 Permit Fee Paid
$92.00 Park Dedication
$0.00
Date 10/09/2001
Final/O.P.
D Permit Voided I
\
In the performance ~s v.:ork I agr e to }erform all work pursuant to rules governing the described construction.
I\'.
Signature [,.' Date
Agent/Owner
I (
! Dj f 6(
. i ,
Address
KAUKAUNA
..../
WI 54130 - 0000
Telephone Number' 766-9970
y
Check all applicable boxes and fill out as much information as possible. Thank you.
1
Address of Property
Of 1/ . -.F '
II b ! /trN7 /tV~ lo1-v
2 The Property is owned by Ii L A ~AE t: rt,-!f/v
3 I am the 0 Owner OR I am th~ Contractor
4 The contractor doing the work is Co f's Co lV~ 71</1 ~r/ /71/, IIv <:/'"
5 This is ~ Single Family Residence, 0 Rental, 0 Commercial
I
6 Work being done:
ROOFING
.~ Tear off and replace existing roofing on~ house'~ garage
o Replace wood decking
o Add 1 layer of roofing to the existing layer(s) on 0 house, 0 garage
This work is being done due to'~ Hail Damage 0 Other
SIDING
o Install siding on 0 house, 0 garage
o Replacing vinyl with vinyl
o Replacing steel or aluminum with vinyl (circle steel or aluminum)
'E;Zf" Replacing At (/1 M " rI.1I1 F'1 with IJ l f/1fv'~- 8 '11-')
This work is being done due to'f4 Hail Damage 0 Other
Whe~n'ding is done, one of the boxes below must be checked:
Electric - Electric Meter, receptacle, lighting and Ele t ic Service entrance
Iterations/modifications are being performed by ~
Electric Installation Verification form is attached ame 0 Icensed lectnc ntractor)
~Electric - not applicable
o Install new or 0 Replace gutters
o I nstall new or 0 Replace downspouts
o Other work being done: (please note)
At ;;.,</V' /Nvr M W ;~Ap )'(-1 &r r (t.^?
"
Value of the job $ I g ";;fl.-
not paying for labor) I
(include fair market price for labor even if you are
"it
~
OJHKQfH
ON THE WATER
City of Oshkosh
Division of Inspection Services
215 Chun:h Avenue
PO Box 1130
Oshkosh WI 54902-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
(I) (We)
1/ AVIS e-1 €/E ~rA; ~.
(Electrical Contractor Name)
:1"52/
(Address)
w.
!/i)W;frIIA
(City)
I!-PP!.cfVr/ W/
f /
(State)
- '\.~JI1
(Zip Code)
have been contracted to perform electric installation work for c:. of S. f-/!ws -rt<.0 "t: I/,#V /N<!...
(Name of party contracted to)
at the following address:
riD
!l11;v flN 4' (fiN {l t) ') fI /{/?;. (-I
(Address where work' will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
--L
Reconnection or new circuit for replacement Heating Plant and/or NC 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 permit.
Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
The value of this work is $ /00 .0 D
,
I hereby verify this work will be performed by an employee ofthis company and further verify the
recormection / installation will be done in compliance with manufacturer and Electric code
requirements.
0:-( I~
~ : 'I l1 tt() 5lr
(Print Name of Officer)
_~_L'1 - 0 \
(Date)
(Signature of Company Officer)