HomeMy WebLinkAbout0087370-Building (siding) CITY OF OSHKOSH No oos7s~o
OSHKOSH BUILDI NG PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2302 JEFFERSON ST Owner BETTY A KERWIN LIFE ESTATE Create Date 07/09/2001
Designer Contractor RESTORATION CONTRACTORS OF AMERICA
Category 141 -Exterior Remodeling Plan
Type ~ Building ~ Sign ~ Canopy ~ Fence ~ Raze
Zoning Class of Const: Size
Unfinished/Basement Sq. Ft. Rooms Height Ft. ~ Projection
Finished/Living Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation ~ Poured Concrete 0 Floating Slab 0 Pier ~ Other
Concrete Block ~ Post 0 Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit Not Required
Park Dedication Not Required # Dwelling Units 0 # Structures 0
_J
Use/Nature fr/install vinyl siding on house due to hail damage*
of Work EIV FORM SIGNED BY MY ELECTRIC
HVAC Contractor
Electric Contractor
Fees: Valuation ,
Issued By:
T
Plumbing Contractor
10 Plan Approval $0.00 Permit Fee Paid $45.00 Park Dedication $0.00
Date 07/09/2001 Final/O.P.
Permit Voided
In the pertormance, this work I agree to perform all work pursuant to rules governing the described construction.
Signature ~!'~.,t.~~/~-~~~<<Y -~
Address 127 W MAIN ST
AgenUOwner
OMRO WI 54963 - 0000
Date
Telephone Number 920-685-6939
07/06/2001 17:53 9206850122 P.CA INC PAGE 02
Q~ ~~~ ~^
Check aif applicable bo:~~; ~::~ and fi!I out as much information aspossible. Thank you.
1 Address of PropE~~ b,~ ~ .~~oZ ~e~rspy~ S f ;
2 The Pro e
P -'ty is o~r~,~r~ed by ~~~r41r/1
i
3 I am the D Owne ~ OR Jam the ~ Contractor
4 The cc)n#ractor dog i ~ the work is C~ ~G
b This is a l~Single~ '=amity residence, ^ Rental, ^ Commercial
~ Work tieing dons:
ROOFING
^ Tear off and re;:- ,_ ce existing roofing on ^ house, ^ garage
D Replace wood ~ < r ,king
^ Add 1 layer of n;,;fing to :he existing layers} on ^ house, ^ garage
This work is being ri~~ne duE~ to ^ Hail Damage ~ Other
SIDING
~'Inst~ill siding on ~ house, ^ garage
^ Replacing vinyl ~r ~i'kh vinyl
Replacing steel ~ r aluminum (circle onej with vinyl '
^ Replacing _ ~ with
`This work is being : ~_~ne due to ~ Hail Damage O Other
When siding is done, one a ~f the bores below must be checked: ~'
Electric - Electri, I'Aeter, receptacle, lighfing and ale tric Service entrance
after~rtions(modi i ~ ttions ~ re being performed by ~ /~c:~y.,'c
Electric Installati,- r Verification form is attached ~ e o ~~CPn~e ~scQic 'c~tr~o[}-
^Electric - not api;,'i.able .
E7 Instal! new or D ' ;r:place ~~utters
^ Install new or ^ ' rrplace ~iownspoufs
^ Other Vvork beinc a'one: (please`hote)
Value of the job ~5 ~~c.' ., / D • _ (include fair market price for labor even if you are
not paying for labor} •
~~,00
i
JAN-28-1900 01 41
Gipr of ocnko.e
Divicionef(ntpt~ponk~h
21 S G1~ursD Avenue
PO 8o+c 1170
o.htoce wts.902.11xo
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~ *"~ ~"~~ Flt 920.23650N
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Electric Ynstallation Verification
P.01
(n (We) MY Electric Corp. '
(Electrical Contractor Name)
1512 Ru b St. Oshkosh WI 54402
(Address) (Cit
Y) (State) (Zip Code)
/ (~%~- - r
have been contracted to perform electric installation work for ~s~- r-o `---- _ _ ~ ~ _ .. .
(Name of party contracted to)
The nature of the work consists of : (Check One or Describe the Nature of Work)
at the following address:
~~.~on S l
(Address where work will be performed)
2 3 0 2 IrS -e
~ Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Recorutection 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 of this work is ~' 00..00
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection J installation will be done in compliance with manufacturer and Irlectric code
requirements.
~.~.~ / ,
`" ~y ~ Eric
Youngbauer / ~2
(Signatur.~o omp y Officer) (Print Name of Officer) (Date)
TOTAL P.01