HomeMy WebLinkAbout0091879-Building (siding) 04.119 CITY OF OSHKOSH No 0091879
OSHKOSH BUILDING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1010 WINDSOR ST Owner JACOB V JENSON Create Date 12/18/2001
Designer Contractor LETT SIDING TRIM
Category 141 Exterior Remodeling Plan
Type Building 0 Sign 0 Canopy 0 Fence 0 Raze 1
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 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/ Replacing existing alum. siding with new vinyl on house and garage, due to hail damage. *NO STRUCTURAL WORK. *EIV
of Work form from Hoehne Electric attached.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,100.00 Plan Approval $0.00 Permit Fee Paid $45.00 Park Dedication $0.00
Issued By: (elv\ Date 12/18/2001 Final /O.P.
Permit Voided
In the performan this work I agree to perform all work pursuant to rules governing the described construction.
Signature —9 dC Date ///k/(')
Agent/Owner
Address 5737 CLEVEDON LN OSHKOSH WI 54904 0000 Telephone Number (920) 233 -4144
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property 14 c//$ 6
Property by C'
2 The Pro a is owned J
b h S e_ k-1
3 I am the Owner OR I am the Contractor
4 The contractor doing the work is f?t) it )t° 7 7-
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 0 Other
SIDING
cs, Install siding on git house, a garage
Replacing vinyl with vinyl
Replacing steel or aluminum with vinyl (circle steel or aluminum)
Replacing A-14114i with Ulf yl
This work is being done due to acHail Damage Other
When siding is done, one of the boxes below must be checked:
Electric Electric Meter, receptacle, lighting and Electric Service entrance
alterations /modifications are being performed by e- A A t y c
Electric Installation Verification form is attached am8 cens e c tra. •r
Electric not applicable
Install new or Replace gutters
Install new or Replace downspouts
O Other work being done: (please note)
Value of the job 3 O 4( (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
OJHK�lH Office 0- 7 6-5050 130
ffice 90.26.5050
ON THE WATER Fax 920 236 -5084
Electric Installation Verification
(I) (We)
(Electrical Contractor Name)
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for
(Name of party contracted to)
at the following address: d 0 W10 roc fs r
(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.
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_`
1
The value of this work is �(J� ,De)
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.
ocZ s /4e 4.2,4-7
(Signature of Company Officer) (Print Name of Officer) (Date)