HomeMy WebLinkAbout2001-Building (siding)
OSHKOSH
ON THE WATER
Job Address 1030 MARICOPA DR
Designer
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner PETER U ANNE M MAYO
Contractor OWNER
$25.00 Park Dedication
Date 05/17/2001 Final/O.P.
Category 141 -Exterior Remodeling Plan
Type ~ Building ~ Sign 0 Canopy 0 Fence 0 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 ~ Floating Slab
Concrete Block ~ Post
Occupancy Permit Not Required
Park Dedication Not Required
Use/Nature FR /REPLACE SIDING ON HOUSE C
of Work
Pier
Treated Wood
Flood Plain
# Dwelling Units
Other
Height Permit Not Required
0 # Structures 0
HVAC Contractor
Electric Contractor
Fees: Valua '
Issued By:
1,782.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided
In the pertormance his ork I agr to perform all work pursuant to rules governing the described construction.
Signature /~~t~ ~ ~~~,~)
Address
Agent/Owner
Oshkosh WI 54901 - 0000
No 0086086
Create Date 05/17/2001
Date /u ~ 7 d f
Telephone Number
Plumbing Contractor
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property %C~~y r~C-~'~~~~-6~ ~/,~i/c°_
2 The Property is owned by ~~"C- L ~ ~ ~QVlv1P ~d ~~~/ ~
3 I am the~Owner OR I am the ^ Contractor
4 The contractor doing the work is ~~s~ v~ ~c~.l,,~ ~- ~~-~ T-
5 This is a~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 layer(s) on ^ house, ^ garage
This work is being done due to ^ Hail Damage ^ Other
SIDING
^ Install siding on ^ house, ^ garage
^ Replacing vinyl with vinyl
~~eplacing steel or minu (circle one) with vinyl
^ Replacing with
This work is being done due to ~ Hail Damage ^ Other
When siding is done, one of the boxes below must be checked:
~~Electric -Electric Meter, receptacle, lighting and EI ctric Service entrance
alterations/modifications are being performed by ~
Electric Installation Verification form is attached ame o i nse 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 $ I.~7~:oL (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
1HK ll--I Oshkosh WI 54903-1130
Office 920-236-5050
ON THE WATER Fax 920-236-5084
Electric Installation Verification
homeowner(s) name)
the homeowner(s) of
(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 o£ (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 $ 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.
s~~ c~
Homeowner(s) Signature (Date)