HomeMy WebLinkAbout0086155-Building (siding)
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OSHKOSH
ON THE WATER
Job Address 2410 HAMILTON ST
CITY OF OSHKOSH No 0086155
BUILDING PERMIT - APPLICATION AND RECORD
Owner KENNETH/DARLENE HABECK Create Date OS/21/2001
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.
Rooms
Height Ft.
D Projection I
Finished/Living
Canopies
Sq. Ft.
Sq.Ft.
Bedrooms
Stories
Garage
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 Not Required
Not Required
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature tiFR / REPLACING WOOD SIDING WITH VINYL SIDING ALSO REPLACE ONE WINDOW (SAME SIZE AND SAME LOCATION)
of Work RECEIVED EIV FORM SIGNED BY OWNER}
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valua'
8,500.00 Plan Approval
$0.00 Permit Fee Paid
$60.00 Park Dedication
$0.00
Issued By:
Date OS/21/2001
Final/D.P.
D Permit Voided I
In the perform~nJ of this work I '6pree to pe orm all work pursuant to rules governing the described construction.
Signature ~. Date
Agent/Owner
;;-:2/- (J /
Address
Oshkosh
WI 54901 - 0000
Telephone Number
"
Check all applicable boxes and fill out as much information as possible. Thank you.
1
Address of Property //':? vl~ Ji1-/Jf/L'~/J :5r
The Property is owned b~ II eJ ~ t:::?-)L
I am the,P Owner OR I am the D Contractor
The contractor doing the work is
This is a~Single Family Residence, D Rental, D Commercial
Work being done:
2
3
4
5
6
ROOFING
o Tear off and replace existing roofing on D house, D garage
D Replace wood decking
D Add 1 layer of roofing to the existing layer(s) on D house, 0 garage
This work is being done due to D Hail Damage D Other
SIDING
)Q Install siding on )K{house,)Q garage
o Replacing vinyl with vinyl
D Replacing steel or aluminum (circle one) with vinyl
D Replacing woo [) with J i N '1 L
This work is being done due to D Hail Damage Jz(Other () Lb
When siding is done, one of the boxes below must be checked:
D 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)
D Electric - not applicable
o Install new or D Replace gutters
o Install new or D Replace downspouts
D Other work being done: (please note) fe;:ftll-cd:. C[) w I~D(h,J
Value of the job $ t s dtJ '- ~. (include fair market price for labor even if you are
not paying for labor)
~
OJHKOJH
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
r(We) /.{eJ 1MAa:r.
(print homeowner( s) name)
the homeowner(s) of cR 00 A4-/Pf/LlZ>;J S,
(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 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
Fn~r~ables will require a separate permit.
- Q~~cti.on-dr new circuit for other permanently wired appliances / fixtures.
Other
The value of this work is $
r 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.
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Homeowner( s) Signature
r;:~ /- tJ /
(Date)