HomeMy WebLinkAbout0085083-Building (roof & siding)
o
"OSHKOSH
ON THE WATER
Job Address 928 BISMARCK AVE
CITY OF OSHKOSH No 0085083
BUILDING PERMIT - APPLICATION AND RECORD
Owner KRIS PARRISH Create Date 04/04/2001
Designer
Contractor OWNER
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Height
Ft.
D Projection I
Unfinished/Basement
Sq. Ft.
Sq. Ft.
Sq. Ft.
Rooms
Canopies
Finished/Living
Bedrooms
Stories
Signs
Garage
Baths
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
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature ISFR/Tear off and replace existing roofing & decking on house due to hail damage. Replace wood siding on house with vinyl.> EIV form
of Work rom homeowner attached. (NO STRUCTURAL WORK)
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $7,645.0~ .~ Approval
Issued By: ~ /~ "'~
$0.00 Permit Fee Paid
$55.00 Park Dedication
$0.00
Date 04/04/2001
Final/O.P.
D Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address 928 BISMARCK AVE
Agent/Owner
OSHKOSH
WI 54901 - 5879
Telephone Number 414-426-9562
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property :?'.2:?1 &:S-,//7d?rC~ /~::~
2 The Property is owned by 4/;;- ~--;"r'/y,//
3
I am the ~wner
OR
I am the 0 Contractor
4 The contractor doing the work is v.;:-, /~
5 This is aJzlBingle Family Residence, 0 Rental, 0 Commercial
6 Work being done:
ROOFING
o Tear off and replace existing roofing onZhouse, 0 garage
.esJ 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,WHail Damage 0 Other
SIDING
o Install siding on d8lhouse, 0 garage
o Replacing vinyl with vinyl
o Replacing steel or aluminum with vinyl (circle steel or aluminum)
[QkReplacing ~0c7.77 with c///? 1/ /
./
This work is being done due to 0 Hail Damage <t!tOther c:::~~ //~#'
When siding is done, one of the boxes below must be checked:
o Electric - Electric Meter, receptacle, lighting and Electric Service entrance
alterations/modifications are being performed by
Electric Installation Verification form is attached (Name of Licensed 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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t,,',"'!
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Value of the job $;/ ~~~~ (include fair market price for labor even if you are
not paying for labor)
.
~
OfHKOfH
ON THE WATER
City of Oshkosh
Division ofInspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We) /~/~) ~r/?/
P' '
(print homeowner( s) name)
the homeowner(s) of ./ ~ )( ~? /7/4/0# ~A-{/.
(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)
_ 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 permit.
Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
The value ofthis work is $ ?: ~~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.
~~~
Homeowner( s) Signature
_~ }/-- 0/
(Date)