HomeMy WebLinkAbout0099265 BOSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
1121 OLSON AVE
141 - Exterior Remodeling
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner LYLE E EICHHORST
Contractor OWNER
· Building O Sign O Canopy (~ Fence O Raze
No 0099265
Create Date 01/02/2003
Plan
Zoning
Unfinished/Basement
Finished/Living
Garage
Foundation
Occupancy Permit
Park Dedication
Class of Const:
0 Sq. Ft. Rooms 0 Height 0 Ft.
0 Sq. Ft. Bedrooms 0 Stories
0 Sq. Ft. Baths 0
· Poured Concrete (~ Floating Slab O Pier (~ Other
O Concrete Block (~ Post O Treated Wood
Not Required Flood Plain Height Permit
# Dwelling Units 0 # Structures
Size
[] Projection j
CanOpies 0
Signs 0
Use/Nature
of Work
SFPJ Replacing existing hardboard siding with new vinyl siding on the house and attached garage, due to old age. Covering soffit with
aluminum. Replace 7 house and 2 garage windows with the same size & location. *NO STRUCTURAL WORK. EIV form from the
homeowner. ANY ADDITIONAL VALUE WILL REQUIRE ADDITIONAL PERMITS.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: F- ~
Plumbing Contractor
$5,900.00 Plan Approval $0.00 Permit Fee Paid
$45.00 Park Dedication $0.00
Date 01/02/2003 FinallO.P. 00/00/0000
[] Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature~ ~,~-- ~'.~ Date
Agent/Owner
Address 1121 OLSON AVE OSHKOSH WI 54901 - 1135 Telephone Number
O/HKO/H
ON THE '~/ATER
City of Oshkosh
Division of Inspection Services
215 Ch~ch Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
I (We)
Electric Installation Verification
(print homeowner(s) name)
the homeowner(s) of / / ~ ! tO/~$ o n~ /9 u ~
(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 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 wouM require a licensed master
electrician.
Other
The value of this work is $ /00~ $/
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.
meowner(s) Signature
(Date)
5/02