HomeMy WebLinkAbout0100281-Building (siding)OSHKOSH
ON THE WATER
.lob Address 1624 THORNTON DR
Designer
Category 141 - Exterior Remodeling
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner THOMAS E KOZEL
Contractor OWNER
No 0100281
Create Date 03/19/2003
Plan
Type · Building (~ Sign C) Canopy C) Fence C) Raze
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. [] ProjectionI
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies 0
Garage 0 Sq. Ft. Baths 0 Signs 0
Foundation · Poured Concrete O Floating Slab O Pier (~ Other
(~ Concrete Block (~) Post (~ Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature SFPJ Covering existing wood siding with new vinyl siding on the house and detached garage. *NO STRUCTURAL WORK. Homeowner
of Work EIV form. :
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: <~_~
Plumbing Contractor
$3,500.00 Plan Approval $0.00 Permit Fee Paid
$35.00 Park Dedication $0.00
Date 03/19/2003 Final/O.P. 00/00/0000
[] Permit Voided
In the perforn~ar)ce of this work I agree to perform all work pursuant to rules governing the described construction.
Signatu ~"~""~'~'~"
] ~ ~ ~_ %~ Date
//~ Agent/Owner
Address / Oshkosh WI 54901 - 0000 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
I£ you are a contractor participating in the Permit £ee Account System and have adequate £undg, check here
if you want this processed through your account ["]
CONtRACtOR ~f:'
I am the: ~l~Owner OR [] Contractor
USE CATEGORY
ngle Family [] Duplex Fl Multi-Family
Work being done:
ROOFING
[] Tear offand replace existing roofing on [] house, [] garage
[] Replace wood decking
[] Add 1 layer of roofing to the existing
This work is being done due to [] Hail Damage [] Other
SIDING A r,-[¢.- -, ~.~ C{
'~}~[~nstall siding on ~ouse, [~ar
[] Rental [] Commercial [] Industrial
layer(s) on [] house, [] garage
[] Replacing vinyl with vinyl
[] Rel/tacin_g st.egl,or aluminum with vinyl (circle steel or aluminum)
This work is being done due to [] Hail Damage [] Other
When siding is done, one of the boxes below musi'be checked:
1) I~:Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
(Name of Licensed Electric Contractor)
AND _~ Electric Installation Verification f~rm is attached OR ~ Sel~arate Elect Permit wffi be requested.
2) [] Electric - Not Applicable because.~Bto~cks previously installed. [] No outside
lights.
Other
[] Install new or ~13eplace gutters
[] Install new or ~q~eplace downspouts
Other related work being done: (please note)
Value of the job $ ~ ~ ~
~ ~2 G ~( ~ (include fair market price for labor even if you are not paying for labor) 03/02
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
O/HKO/H O ce
ON THE WATER Fax 920-236-5084
Electric Installation Verification.
(print homeowner(s) name)
the homeowner(s) of [ (c, 2_ c.~ 72hf~,Q/c/? (--Jr'q/ [,,9 ~.
(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 $ f~,~~
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.
Hom:r(s) Signature (Date)
5/02