HomeMy WebLinkAbout0127616-Building (siding)
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OSHKOSH
ON THE WATER
Job Address 850 NICOLET AVE
CITY OF OSHKOSH No 127616
BUILDING PERMIT - APPLICATION AND RECORD
Owner DARRYL R1KERRIE A BERNDT Create Date 11/02/2007
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.
Rooms
Height
Ft.
o Projection I
Finished/Living
Sq. Ft.
Bedrooms
Stories
Canopies
Garage
Sq.Ft.
Baths
Signs
Occupancy Fee
o Pier
o Treated Wood
$0.00 Flood Plain
o Other
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
Occupancy Permit Not Required
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature ~FR /INSTALL VINYL SIDING ON THE HOUSE AND ATTACHED GARAGE, NO STRUCTURAL CHANGES, EIV SIGNED BY THE
of Work HOMEOWNER (Darryl Berndt)
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $1,850.00 Plan Approval
Issued By: 0'rYI &
$0.00 Permit Fee Paid
$32.00 Park Dedication
$0.00
Date 11/0212007
Final/O.P. 00/00/0000
o Permit Voided I
Parcel Id # 1523500000
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 () an 11 .( ~Q f2-.. g.Q J~ Date j{ - L -07
Agent/Owner
Address 850 NICOLET AVE
OSHKOSH
WI 54901 - 1636 Telephone Number
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.
Roofing & Siding Permit Application
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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 permit(s) will result in fees being doubled or $100.00 pluS the
normal permit fee, which ever is greater.
OR "
Ifvou are a contractor particivatinf! in the Permit fee Account System and have adequate funds. check here
ifvou want thisvrocessed throuf!h your account n . .
JOB ADDRESS g ru
OWNEROo--Ff'1f \
r
CO~~er
USE CATEGORY
~kFamily
fv~'c-ol(L~ "
K -~/?J ~
OR
o Contractor
" 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
Work ~eing ~one:
ROOFING
o Tear off and replace existing roofing on 0 house, 0 garage
o Replace wood decking
o Add 1 layer of roofing to the existing
This work is being done due to 0 Hail Damage 0 Other
layer(s) on 0 house, 0 garage
SIDING
~~l siding on ~.use, "1Jlarage
o Replacing vinyl with viiIy! '
o Replacing steel or aluminum with vinyl (circle stel!l ~, "
OReplacing rA \ u' ~_ ." " with V I ").r\,
This work is being done due to 0 Hail Damage 0 Other A-t1 . k.
v
When siding is done, one of the boxes below must be checked:
. 1) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance altefl!.tionslmodifications are being performed
by {"t'.-iJc e..f .
(Name of Licemed Electric Contractor)
AND 0 Electric Installation Verification form is attached OR 0 Separate Elect Permit wm be requested.
"2) 0 Electric:'" Not Applicable because: 0 J Blocks previously installed. 0 No outside lights. 0 Other
o Install new or 0 Replace gutters
o Install new or 0 Replace downspouts
Other related work being done: (please note)
Value ofthejotf$ (8~, ~ D
" (include fair market price for labor even if you are not paying for labor)
03/02
~
OfHKOfH
ON THE WATER
City of Oshkosh
Division oflnspection Services
215 Church A venne
PO Box 1130
Oshkosh WI 54903- 1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
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() C).fv / \.. ~-e. r ~ ~
(Electrical Contractor Name or Homeowner's Name)
~ 5 0 "VV ,\,-";\~ ~
(Address)
as klL-~~
(City)
Lv:f
(State)
j 0\.qcJ t
(Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
q SO fVtc~'-Q J-
(Address where work will be performed)
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 or power vented
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 the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of AlC to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single family owner occupied home. Work on a condominium,
duplex, rental, or multi-use building would require a licensed Electrical
Contractor.
Other
The value of this work is $ (no" 0 t)
I hereby verify this work will be performed in compliance with the License requirements of
Section 11-22 of the Oshkosh Municipal code and further verify the reconnection / installation
will be done in compliance with manufacturer and Electric code requirements.
no
( 19nature of Company Officer or Homeowner)
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o o:"~""ct_--~-_ (Se r I'JJ-
--1f~~"'0~"""-""
(Print Name)
JI-l..--~ol)
I .
(Date)
07/07