HomeMy WebLinkAbout0083830-Building (siding) 0 CITY OF OSHKOSH No 0083830
OSHKOSH BUILDING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 357 WINDINGBROOK DR Owner THOMAS L/SUSAN K HASENSTEIN Create Date 01/26/2001
Designer Contractor PAT WONG WINDOW AND SIDING
Category 141 Exterior Remodeling Plan
Type Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning Class of Const: Size
Unfinished/Basement Sq. Ft. Rooms Height Ft. Projection I
Finished/Living Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication Dwelling Units 0 Structures 0
Use /Nature SFR/Replace vinyl siding on house garage.* EIV from homeowner attached. (NO STRUCTURAL WORK)
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor HOMEOWNER
Fees: Valuation $5,944.00 Plan Approval $0.00 Permit Fee Paid $45.00 Park Dedication $0.00
Issued By: (A-----/ Date 01/26/2001 Final /O.P.
Permit Voided I
In the performance of this work I� perform all work pursuant to rules goveming the described construction.
Signatu61 z3 Date //a. -SA
Agent/Owner
Address 2020 N BIRCHWOOD AVE APPLETON WI 54914 0000 Telephone Number 428-1773
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property 3.S 7 e-A-/ -6 y4 e 6,_SX/cC'Qs
2 The Property is owned by 77 ,iJ
3 I am the Owner OR I am the D C retractor
4 The contractor doing the work is V.‘", Gc/v s.�.%�f
5 This is a C3'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
Ins tall siding on Ouse, age
LI "Replacing vinyl with vinyl
Replacing steel or aluminum 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 checked:
Il Electric Electric Meter, receptacle, lighting and Electric Service entrance
alterations /modifications are being performed by
Electric Installation Verification form is attached (Name of Licensed Electric Contractor)
Electric not applicable
Install new or Replace gutters
Install new or Replace downspouts
Other work being done: (please note)
Value of the job V (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 WI 54902 -1130
Of HKOf H Office 920 -236 -5050
ON THE WATER Fax 920-236-5084
Electric Installation Verification
(I) (We) T '.14s7.: -.1
(Electrical Contractor Name)
ir-)A.Jf 6.ue,/ fps, r *os, /.r/z"
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for -5 •/,`1741" yrl'7'
(Name of party contracted to)
at the following address:
(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.
skeconnection 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 Pfil y l d6
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)