HomeMy WebLinkAbout0125591-Building (siding)
G
OSHKOSH
ON THE WATER
Job Address 841 MILLER LN
CITY OF OSHKOSH No 125591
BUILDING PERMIT - APPLICATION AND RECORD
Owner THOMAS J NORQUIST Create Date 06/28/2007
Designer
Contractor OWNER
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement
Sq.Ft.
Sq.Ft.
Sq.Ft.
Rooms
Height
Ft.
D Projection I
Finished/Living
Bedrooms
Stories
Canopies
Signs
Garage
Baths
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit
Occupancy Fee
$0.00 Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature
of Work
:SFR / Replace siding on house. Replace gutters & downspouts.
L
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$10,500.00 Plan Approval
~
$0.00 Permit Fee Paid
$94.00 Park Dedication
$0.00
Issued By:
Date 07/02/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1519623900
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 secure any.-n~bessa approvals before starting such activity.
.- /' /"
SignaturiY"':T(-=-?;J>i,<..6 Date
/ Agent/Owner
Address 841 MILLER LN
OSHKOSH
WI 54901 - 1410 Telephone Number 414-426-9430
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.
Roofing & Siding Permit Application
~
OfHKOfH
ON THE WATER
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
· 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 without pennit(s) will result in fees being doubled or $100.00 pluS the
normal permit fee, which ever is greater.
OR
Ifvou are a contractor participating in the Permit fee Account Svstem and have adeQuate funds. check here
if vou want thisvrocessed throuflh vour account n
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CONTRACTOR f5 r e Y\ e V\ Pi' Cl $ h €. V"
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I am the:
~Owner
OR
o Contractor
USE CATEGORY
'Jil. 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 Hail Damage 0 Other
layer(s) on.O house, 0 garage
SIDING
jiI Install siding on .house, . 0 garage
o Replacing vinyl with vinyl
o Replacing steel or aluminum with vinyl (circle ste~l or aluminum)
O. Replacing with
This work is being done due to 0 Hail Damage 0 Other
When siding is done, one of the boxes below must be checked:
I) "tElectric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alte14tions/modifications are being performed
(Name ofLiceosed Electric Contractor)
AND 0 Electric Installation Verification form is attached OR 0 Separate Elect Permit wHl be requested.
. 2) Xi Electric:'" Not Applicable because: ~ Blocks previously installed. J!! No outside lights. 0 Other
o Install new or IB'Replace gutters
o Install new or H Replace downspouts
Other related work being done: (please note)
Value of th~ job $ /l)) sao
(include fair market price for labor even if you are not paying for labor)
03/02