HomeMy WebLinkAbout0093750-Building (siding)F CIT'~~OF OSHKOSH
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2348 JEFFERSON ST
Designer
Owner ALLEN E HENSLIN
Contractor OWNER
No 0093750
Create Date 04/22/2002
Category 141 -Exterior Remodeling Plan
Type ~ Building Q Sign Q Canopy Q Fence Q Raze
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. ^ Projection
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies 0
Garage 0 Sq. Ft. Baths 0 Signs 0
Foundation ~ Poured Concrete Q Floating Slab
Q Concrete Block Q Post
Occupancy Permit Not Required
Park Dedication
Use/Nature
of Work
Q Pier Q Other
Q Treated Wood
Flood Plain
# Dwelling Units 0
Height Permit
# Structures 0
FR/Install vinyl siding over existing siding on garage " NO STRUCTURAL WORK. Homeowner EIV form attached.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $975.00 Plan Approval $0.00 Permit Fee Paid _
Issued By: ~/
^ Permit Voided
$20.00 Park Dedication $0.00
Date 04/22/2002 Final/O.P. 00/00/0000
In the perfo of this I agree to perform all work pursuant to rules governing the described construction.
~,. -`~
Signat re o Date ~~ ~.Z--~~ °
Agent/Owner
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
2 The Property is owned by ~ ~ ~t/~ ~Q~~Cr~n
3 I am the~9~wner OR I am the ^ Contractor
4 The contractor doing the work is ~ ~ • ~ • ~ fZr ~
5 This is a i~'Single Family Residence, ^ Rental, ^ Commercial
6 Work being done:
ROOFING
^ Tear off and replace existing roofing on ^ house, ^ garage
^ Replace wood decking
^ Add 1 layer of roofing to the existing
This work is being done due to ^ Hail Damage
SIDING
Install siding on ^ house, garage
'Replacing vinyl with vinyl
layer(s) on ^ house, ^ garage
^ Other
^ Replacing steel or aluminum with vinyl (circle steel or aluminum)
^ Replacing. ~IT ~~-~, with ____ ~l~rt y ~
This work is being done due to ^ Hail Damage ~9-Other
When siding is done, one of the boxes below must be checked:
^ Electric -Electric Meter, receptacle, lighting and Electric Service entrance
alterations/modifications are being performed by
Electric Installation Verification form is attached ame o icense ectnc ontractor
^ Electric -not applicable
^ Install new or ^ Replace gutters
^ Install new or ^ Replace downspouts
^ Other work being done: (please note)
Value of the job Jam, ~ (include fair market price for labor even if you are
not paying for labor)
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
I--I Office 920-236-5050
ON THE WATER Fax 920-236-5084
I (We)
the homeowner(s) of
Electric Installation Verification
~ ~~ s ~`
homeowner(s) name)
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 A/C 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
Entrance Cables will require a separate permit.
Reconnection or new circuit for other permanently wired appliances /fixtures.
Other
The value of this work is $ ~ 5.0 ~
I 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.
~~ ~ ..
Homeowner(s) Signature
S~ az-o 2-
(Date)