HomeMy WebLinkAbout0082679-Building (siding)LJ
OSHKOSH
ON THE WATER
Job Address 2348 JEFFERSON ST
Designer
Owner ALLEN E HENSLIN
Contractor BORCHARDT CONSTRUCTION LTD
No 0082679
Create Date 11/06/2000
Category 141 -Exterior Remodeling Plan
Type ~ Building ~ Sign (~ Canopy ~ Fence Q 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
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Poured Concrete ~ Floating Slab ~ Pier ~ Other
Concrete Block ~ Post Q Treated Wood
Occupancy Permit Not Required
Park Dedication
Use/Nature
of Work
Flood Plain Height Permit
# Dwelling Units 0 # Structures 0
FR/Replace aluminum with steel siding on house due to hail damage. Replace gutters & downspouts. Electrical to be done by
omeowner.* (NO STRUCTURAL WORK)
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $30.00 Park Dedication
Issued By: ,.tip Date 11/06/2000 Final/O.P.
Permit Voided
$0.00
In the performance of this w I agree to perform all work pursuant to rules governing the described construction. r ~
Signat e I ~ ~ Date~~/
Agent/Owner /
Address 2348 JEFFERSON ST OSHKOSH WI 54901 - 1912 Telephone Number
Check all applicable boxes and fill out as much information as possible. Thank you.
/ ~
1 Address of Property ~ CI ~ ~~ C°l~ SQ~t `Z
2 The Property is owned by ~ ~ ~~~~r~
3 I am the Qwner
OR I am the ^ Contrac#or
4 The contractor doing the work is
5
This is a~Single Family Residence, ^
Rental, D 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 [~'`fiouse, ^ garage
^ Replacing vinyl with vinyl
layer(s) on ^ house, ^ garage
^ Other
Replacing steel or aluminum with vinyl circle stee or aluminum)
^ Replacing~d (_ r .~ ; ,~,, ~k ~--, with ~ `~c i--~
This work is being done due to it Damage ^ Other
When siding is done, one of the boxes below must be checked:
lectric -Electric Meter, receptacle, lighting and Electric Service entrance
alterations/modifications are being performed by ~ Gv n(~ ~
Electric Installation Verification form is attached amen icense E'rcincZontractor
O Electric -not applicable
^ Install new or '`Replace gutters
^ Install new oreplace downspouts
^ Other work being done: (please note)
h
Value of the job $ ~ ~~~ ~ ~ (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 W154902-1130
DH Office 920.236-5050
ON THE wnrER Fax 920.236-5084
Electric Installation Verification
(I) (We) ~1~F~c/ ~~ /U~ ~c"~
(Electrical Contractor Name).
~s
(Address)
have been contracted to perform electric installation work for ~~1i~ rt~~'it'1 r ~,~ ,
(Name of party contracted to)
at the following address: ~~ ~~ ~---- ~ ~ S ~~
(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 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 sepazate permit.
Reconnection or new circuit for other permanently wired appliances /fixtures.
Other
d~
The value of this work is $ / jJ,~ , ~~ ~ ~,~
~r ~/~~
(State) (Zip Code)
(City)
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection /installation will be done in compliance with manufacturer and Electric code
requirements.
(Signature of Company Officer)
(Print Name of Officer)
(Date)