HomeMy WebLinkAbout0094330-Building (siding)
OSHKOSki
ON TF,}E WATER
Job Address 30 EVELINE ST
Designer
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
No 0094330
Create Date 05/14/2002
Category 141 -Exterior Remodeling Plan
Type ~ Building ~ Sign ~ Canopy ~ Fence ~ 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 0 Floating Siab ~ Pier
Concrete Block ~ Post ~ Treated Wood
Occupancy Permit Not Required Flood Plain
Park Dedication # Dwelling Units
Use/Nature
of Work
Other
Height Permit
0 # Structures 0
FR/ Replacing existing wood siding with new vinyl siding, fascia & soffit on the house, due to old age. 'NO STRUCTURAL WORK. EIV
orm from the homeowner.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $9,500.00 Plan Approval $0.00 Permit Fee Paid _
Issued By: ~j/V1
^ Permit Voided
$65.00 Park Dedication $0.00
Date 05/14/2002 Final/O.P.00/00/0000
In the perform of is work I agree to perform~U-work pursuant to rules governing the described construction.
Signature `~.._ ^ ~ ~
Address 30 EVELINE ST
Owner RUSSELL B DIENER
Contractor OWNER
Date ~y ~ d
Agent/Owner
OSHKOSH WI 54901 -5428 Telephone Number
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phon(: (9j 0) 236-5050 ~HKO H
Fax: 920 236-5084
ON THE WATER
Roofing & Siding Permit Application
• 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
If you are a contractor participating in the Permit fee Account Svstem and have adequate funds check here
if you want this processed through vour account (~
USE CATEGORY
Single Family ^ Duplex ^Muiti-Family
Work being done:
ROOFING
^ Rental
^ Tear off and replace existing roofing on ^ house, ^ garage
^ Replace wood decking
^ Add 1 layer of roofing to the existing
^ Commercial ^ Industrial
layer(s) on ^ house, ^ garage
This work is being done due to ^ Hail Damage ^ Other
SIDING
~nstall siding on douse, ^ garage
^ Replacing vinyl with vinyl
^ Replacing steel or aluminu with vinyl (circle steel or aluminum)
^ Replacing with ~(
This work is being done due to ^ Hail Damage Other
When siding is done, one of the boxes below must be chec d:
1) L~lectric -Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
y ` ~ til~l,t/~
(Name of Licensed le tric Contractor)
AN /ectric Installation Verification form is attached OR ^ Separate Elect Permit will be requested.
2) ^ Electric -Not Applicable because: ^ J Blocks previously installed. ^ No outside lights. ^ Other
^ Install new or ^ Replace gutters
^ Install new or ^ Replace downspouts
Other related work being dons-(please note)
Value of the job $ 9. S ~ d - (include fair market price for labor even if you are not paying for labor) 03/02
I am the: ~~Qwner OR O Contractor
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
~--I Oshkosh WI 54903-1130
Office 920-236-5050
ON THE WA ER Fax 920-236-5084
I (We) `KV.S
the homeowner(s) of
Electric Installation Verification
J` ~ C . o~ ~ i Q I/1 ~P
(print homeowner(s) name)
(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 $ /op~ o ~
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.
_ ~ .~ - i y ~- 0 2-
Homeowner(s) Signature (Date)