HomeMy WebLinkAbout0097001-Building (siding)
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OSHKOSH
ON THE WATER
Job Address 704 BISMARCK AVE
CITY OF OSHKOSH
No 0097001
BUILDING PERMIT - APPLICATION AND RECORD
Owner TOMMY G/LEONA E WHITE
Create Date 09/03/2002
Designer
Contractor INSIDE OUT CONSTRUCTION
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy o Fence o Raze
Class of Const: Size
Rooms 0 Height o Ft. D Projection I
Bedrooms 0 Stories Canopies 0
Baths 0 Signs 0
Zoning
Unfinished/Basement 0 Sq. Ft.
-
Finished/Living ~ Sq. Ft.
Garage ~ Sq. Ft.
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 'SFRI Replacing existing wood siding with new vinyl siding on the house, due to old age. 'NO STRUCTURAL WORK. EIV form from T
of Work Ruck Electric.
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
$2,800.00 Plan Approval
$0.00 Permit Fee Paid
$30.00 Park Dedication
$0.00
Date 09/03/2002
FinaIlO.P. 00/00/0000
D Permit Voided I
In the performan~s ~Ork I agree ~orm all w pursuant to rules governing the described construction.
Signature /~ ~ Date .,?-- .3"""'.0 2
Agent/Owner
Address 928 BISMARCK
OSHKOSH
WI 54902 - 0000 Telephone Number 920-426-9562
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Check all applicable boxes and fill out as much information as possible. Thank you.
1
Address of Property
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2 The Property is owned by
3 I am the 0 Owner OR I am th~ Contractor
4 The contractor doing the work is ~./5/.?le tJ v.-I' t:brV>71fu~po (1/ Ll (
5 This is at3'Single Family Residence, 0 Rental, 0 Commercial
6 Work being done:
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 layer(s) on 0 house, 0 garage
This work is being done due to 0 Hail Damage 0 Other
SIDING
';t.1 nstall siding on ~ house, 0 garage
o Replacing vinyl with vinyl
o Replacing steel or aluminum with vinyl (circle steel or aluminum)
?O-ReplaCing W Cl~cI with 1/ )? r? Y ~
This work is being done due to 0 Hail Damage a.Other / f..e
When siding is done, one of the boxes below must be checked:
~Electric - Electric Meter, receptacle, lighting and Electric Service ;ztrance .
alterations/modifications are being performed by ~ \ ~ ~ C ~
Electric Installation Verification form is attached ( ame 0 lcensed .Electric Contractor)
o Electric - not applicable
o Install new or 0 Replace gutters
o Install new or 0 Replace downspouts
o Other work being done: (please note)
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Value of the job $ d :? () o. --- (include fair market price for labor even if you are
not paying for labor)
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OJH<OfH
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City of Oshkosh
Division of Inspection Semces
21 5 Church Avenue
PO Box 1130
Oshkosh WI 54902-1130
Office 920-236-5050
Fax 920-236-5084
ON THE WATER
Electric Installation Verification
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(Electrical Contractor Narne)
-5 /P /Jv-e
(Address)
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(State) (Zip Code)
have been contracted to perform electric installation work for 45'>PE a tA T. &r; '5?;'(Ac-i/l/.N j /,t.
(Name of party contracted to)
./ cJ ~ ~:s ffipru /{ .4 u-e -
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(Address where work will be performed)
Os4,14)'{
(City)
at the following address:
The nature ofthe work consists of: (Check One or Describe the Nature of Work)
A
'Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection 6?new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cablet Meter Boxt 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 $ / {J Y E.-f)
1 hereby verify this work will be performed by an employee ofthis company and further verify the
reconnection I installation will be done in compliance with manufacturer and Electric c.ode
req ir. ments.
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