HomeMy WebLinkAbout0143420-Building (siding) CITY OF OSHKOSH No 143420
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1102 W 9TH AVE Owner MICHAEL X KELLERMAN Create Date 10/04/2010
Designer Contractor LUECKS HOME IMPROVEMENT INC
Category * 141 - Exterior Remodeling Plan
Type • Building O Sign O Canopy O Fence O 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 0 Floating Slab 0 Pier 0 Other
O Concrete Block O Post O Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR / Install vinyl siding on house. Cover window casings. No outside lights. * *debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $17,976.00 Plan Approval $0.00 Permit Fee Paid $136.00 Park Dedication $0.00
Issued By: Q/Yr1,0 Date 10/04/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 0608490000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
have read and understand the afore mentioned information.
Signature Date
Agent/Owner
Address 706 S MAIN STREET OSHKOSH WI 54902 - 6084 Telephone Number 235 -0106
* 141 - Exterior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500 -113 on the DNR
Asbestos Program website; http: / /dnr.wi.gov /air /compenf /asbestos /. For additional information on hazards present in buildings see
the Pre - Demolition Environmental Checklist at http: / /dnr.wi.gov /org /aw /wm /publications /anewpub /WA651.pdf
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
10/04/2010 10:26 19202350145 LUECKS PAGE 01
City of Oshkosh,,
Inspection Services Division riJ
P OBox. 1130' /^
Oshkosh, WI 54903 -1130 '
• Phone: (920) 236 -5050 •
Fax (920) 236 -5084 O HK1
Roofing & Siding Permit Appiication ° " T`" `' "
•
Application(s) and fee(s) can be brought to City Hall, ROOM 205 or mailed to Inspection Services, PO Box 1125,
Oshkosh WI 54903 -1128. Commencing work withoutpermit(s) will result in fees being doubled or S 100.00 plus
normal permit fee, which ever is greater.
OR •
7 Jou area contractor ra rricipa fin a in the Perini; {e.e Account Svsrent and have adeouore funds check h
iryou want th is t7racessed throuvh iwur acca
•
JOB ADDR-$SS NO2 L r q TN •
•
OWNER " .I -Ci M �
CONTRACTOR _--- L d r+tC O —.
X am the: ❑ Owner OR VI Contractor
USE CATEGORY
Z Single Family 0 Duplex 0 Multi - Family ❑ Rental ❑ Connerci2l Ce,lndusrriai
Work being done:
ROOFLNG
❑ mgr off and replace existing roofing on 0 house, 0 garage •
0 Replace wood deckin
0 Add 1 layer cfroofing to the existing layer(s) on 13 house, 0 garage
This work is being done due to 0 Hail Damage 0 Other
SIDING
•
0 Install siding on espouse, 0 garage
•
❑ Replacing vinyl with vinyl
• 0 Replacing stet] or aluminum with vinyl (circle steel or-alurn5num) l _ • ❑ Replacing 5 LiffL uit<h V ENf .
This work is being done duc to 0 Mail Damage 0 Other •
'P3rhett siding is dot e, o7;t ofthe boxes below rrnust be checked:
7) , 0 Electric —Existing Electric Meter, receptacle, lighting EGId Electric Service entrance alicrations/modificzsions ere being performed
by
(Manx ofLiccrscd Electric Convauor)
AND D Electric installation Verification fern is erteched OF D Separate Elect Fercnii wt1 be requested.
2) 0 Electric —Not Applicable because; DJ Blocks previously installed. 51 No outside lights. C Other .
❑ Install new or 0 Replace gutters
. ❑ Install new or 0 Replace downspouts
Oth er related work being d (please note) [•i.tfJ', LI 1erSeky C45 .bs '
.iZZ A 14) . Ca
�7 97 ..
I/ r:�J
Re c e�I v e d TIM e tOc t. 4....2010..10: 05AM -N o. 3 0 79clude f it mar?cet price for labor even if you are not paying for tabor) O3 /0:'