Loading...
HomeMy WebLinkAbout0100021-Building (siding)'OSHKOSH ON THE WATER Job Address Designer Category Type 1080 CHRISTIAN DR 141 - Exterior Remodeling CITY OF OSHKOSH No 0100021 BUILDING PERMIT - APPLICATION AND RECORD Create Date 03/03/2003 Owner TODD R/AMY M GIESE Contractor OWNER · Building (~ Sign O Canopy O Fence O Raze Plan Zoning Class of Const: Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Garage 0 Sq. Ft. Baths 0 Foundation · Poured Concrete (~ Floating Slab (~) Pier (~) Other (~ Concrete Block ~) Post (~ Treated Wood Occupancy Permit Not Required Flood Plain __ Height Permit Park Dedication # Dwelling Units 0 # Structures Size [] Projection J Canopies 0 Signs 0 Use/Nature SFR/Replacing existing vinyl siding with new vinyl siding on the house and attached garage, due to fading. *NO STRUCTURAL WORK. of Work EIV form from Homeowner. HVAC Contractor Electric Contractor Fees: Valuation Issued By: ~ Plumbing Contractor $2,800.00 Plan Approval $0.00 Permit Fee Paid $30.00 Park Dedication $0.00 Date 03/03/2003 FinallO.P. 00/00/0000 [] Permit Voided In the performancei f of this work I agree to perform all work purs, uant to rules governing the described construction. SignatureV [/'~ ~/qA ~/~ .~ ~ ~ Date /~.. [/~' ' - ~ ' Agent/Owner Address 1080 CHRISTIAN DR OSHKOSH WI 54901 - 0733 Telephone Number City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Roofing & Siding Permit Application O/HKO/H ON THE WATER · 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 System and have adequate funds, check here (f you want this processed through your account ['-] JOB ADDRESS I am the: 'E~wner /~E CATEGORY ngle Family Work being done: ROOFING OR [] Contractor [] Duplex [] Multi-Family [] Rental [] Commercial [] Industrial [] Tear offand replace existing roofing on [] house, [] garage [] Replace wood decking [] Add I layer of roofing to the eXisting layer(s) on [] house, [] garage This work is being done due to [] Hail Damage [] Other _~nDstIall~l siGding on .~use, ~gara~ocC'ID'J~(~ Rplacing vinyl with vinyl placing steel or aluminum with vinyl (circle steel or alumi'num) [] Replacing with This work is being done due to F1 Hail Damage ~g~Other When siding is done, one of the boxes below must be checked: 1) ']~Electric - E. xi~ng Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed by (Name of Licensed Electric uon c AND ~ Electric Installation Verification f~rm is attached O._~R B Sel~arate Elect Permit wffi be requested. 2) [] Electric - Not Applicable because: [] J Blocks previously installed. [] No outside lights. B Other [] Install new or [] Replace gutters [] Install new or [] Replace downspouts Other related work being done: (please note) Value of the job $ (include fair market price for labor even if you are not paying for labor) 03/02 City of Oshkosh Division of Inspection Services 21 $ Church Avenue PO Box 1130 Oshkosh WI 54903-1130 Fax 920-236-5084 · I (We) Electric Installation Verification. (print ho._..n~eow~er(s) name) the homeowner(s)'of [~?)~ (,[/'~ ~'~-~'/.k,~[ _~. i~t~- (address where work is to be performed) accept the responsibility for performing the electrical work as stated beloTM 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 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 A/C 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 master electrician. Other The value of this work is $ ~7)~) ~ 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. - ~?)neowne~.(s) Signature (Date) 5/O2