HomeMy WebLinkAbout0126943-Building (exterior)
o
OSHKOSH
ON THE WATER
Job Address 579 581 MOUNT VERNON ST
CITY OF OSHKOSH
No
126943
BUILDING PERMIT - APPLICATION AND RECORD
Owner DAIN HENDRICKSON
Create Date
09/25/2007
Designer
Contractor LETT SIDING & TRIM
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.1=t.
Sq.Ft.
Rooms
Height
Ft.
D Projection I
Finished/Living
Bedrooms
Stories
Canopies
Garage
Baths
Signs
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit
Occupancy Fee
$0.00 Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature Duplex /Install soffit and fascia and wrap all window & doorcasinys.-"DEBIT ACCT**.
of Work
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$1,900.00 Plan Approval
U~
$0.00 Permit Fee Paid
$32.00 Park Dedication
$0.00
Issued By:
Date 09/25/2007
FinaIlO.P. 00/00/0000
D Permit Voided I
Parcelld # 0402120000
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 necessary approvals before starting such activity.
Signature
Date
Agent/Owner
OSHKOSH
WI 54904 - 9729
Telephone Number
920-233-4144
Address
5737 CLEVEDON LN
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. 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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236~5050
Fax: (920) 236-5084
R
I
~
OJHKOfH
ON THE WATER
SEP 2 5 Z007
, DEPARTIV\ENT OF
Roofing & Si~~O'\je~nQWEAQ.(t4ffiJ~ion
INSPEcn I '~t~r~(
. 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 permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee. which ever is greater.
OR. '
/fyou area contractor Darticipatingin the Permit fee Account System and have adequate funds. check here
i(you'want this Drocessed throuf!h your account'VT ' . '
JOBA.DDRESS 51q en, \J e\\\or, s\
OWNER O)-.p \" C\ \ ~ \-\ ~"\ ~ (' \( t<;~ .
CONTRACTOR \Zo0 L.R.~~ +__J e,tr s l~ I ~ ~ T ('I rr,
I am the: 0 Owner OR ~ Contractor
USE CATEGORY
o Single Family )S{>uplex.
o Multi-Family
o Rental
o Commercial
o Industrial
Work beiDg done:
ROOFING
"- -....
o Tear off and replace existing roofing on 0 house, 0 garage
,. ci Replace wood decki~g
, "
. ..' .
DA.d4. Uayer of roofing to the'existing
This work iS,being done due to ,0 Hail Damage 0 Other
, SIDING
layer(s) on 0 house, 0 garage
'0 Install siding on 0 house, 0 ~arage
o Replacing vinyl with vinyl
,,0,Replacing steel or aluminum with vinyl (circle steel or aluminum)
o Replac:ing . with
This work is being done due to q .Hail Damage 0 Other
',Wbensidingisdone, one:ofthe boxes below must be checked:
o Install new ,or. 0 Replace gutters
o Install new or 0 Replace downspouts
, '
, ,':: 1)> o Efectric.,.. Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
~ ' "
(Name of Licensed Electric ConlTactor)
AND 0 Electric Installation Verification fonn is attached OR 0 Separate ElectPermit will be requested.
2~lectric - Not Applicable because: 0 J Blocks previously installed. 0 No ou~ide Iigh~.' ~herJ:j at ~\~ \r:t~c.h eel .
~leOj~3
I
<5\ ~QSQ\~ ()t'\ ~QUS.Q
Value of the job L)L1 OO~ 6P>
(include fair market price for labor even if you are not paying for labor)
03/02