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0100479 B
OSHKOSH ON THE WATER .lob Address 302 W LINCOLN AVE Designer CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner TRI STAR INVESTMENTS INC Contractor VENTURE CONTRACTORS LLC Category 141 - Exterior Remodeling No 0100479 Create Date 03/28/2003 Plan Type [(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze Zoning Class of Const: Size Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. ~J Projection Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies Garage 0 Sq. Ft. Baths 0 Signs Foundation O Poured Concrete (~) Floating Slab (~) Pier (~) Other (~) Concrete Block (~) Post (~) Treated Wood Occupancy Permit Not Required Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use/Nature RENTAL/Covering existing wood siding with new vinyl siding on the house. *NO STRUCTURAL WORK. EIV form from Van Ert Electric. of Work HVAC Contractor Electric Contractor Fees: Valuation Issued By: Plumbing Contractor $8,500.00 Plan Approval $0.00 Permit Fee Paid $50.00 Park Dedication $0.00 Date 03/28/2003 Final/O.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 Oshkosh Address PO BOX 8181 WI 54903 - 8292 Telephone Number 920-236-6788 OSHKOSH ON THE WATER Job Address Designer Category Type 302 W LINCOLN AVE 141 - Exterior Remodeling CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner TRI STAR INVESTMENTS INC Contractor VENTURE CONTRACTORS LLC · Building (~) Sign (~ Canopy (~ Fence (~ Raze No 0100479 Create Date 03/28/2003 Plan Zoning Class of Const: Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Garage 0 Sq. Ft. Baths 0 Foundation · Poured Concrete (~) Floating Slab O Pier (~ Other (~) Concrete Block (~) Post (~ Treated Wood Occupancy Permit Not Required Flood Plain __ Height Permit · Park Dedication # Dwelling Units 0 # Structures Size ~ Projection Canopies Signs Use/Nature of Work RENTAL/Covering existing wood siding with new vinyl siding on the house. *NO STRUCTURAL WORK. EIV form from Van Ert Electric. HVAC Contractor Electric Contractor Fees: Valuation Issued By: ~\t~A, Plumbing Contractor $6,500.00 Plan Approval $0.00 Permit Fee Paid $50.00 Park Dedication $0.00 Date 03/28/2003 Final/O.P. 00/00/0000 [] Permit Voided J In the perf r n f'th s ' k I agree to perform'all work pursuant to rules governing the described construction. Signatur . Agent/Owner Address PO BOX8181 Oshkosh WI 54903 - 8292 Date ~y427~ .-'% Telephone Number 920-236-6788 Check all 'applicable boxes and fill out as much information as possible. Thank you. 1 3 4 5 6 Address of Property ~©'~ Sd The Property is owned by *T~'~ I am the [] Owner OR I am the I~ontractor The contractor doing the work is Single Family Residencei"l~ Rental, [] Commercial This is a Work being done: ROOFING [] Tear off and 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 layer(s) on [] house, [] garage [] Other SIDING '~nstall siding on '~ouse, [] garage [] Replacing vinyl with vinyl [] Replacing steel or aluminum with vinyl (circle steel or aluminum) 12~~g x),?.~¥,,~ with \-~ 't This work is being done due to [] Hail Damage .l~Other When siding is done, one of the boxes below must be checked: .~lectric - Electric Meter, receptacle, lighting and E!e. ctric Service¢ 6'ntrcnce ' alterations/mOdifications are being performed by '1~¢.~'~ (RaChel,of Licensed ElectriC: Contractor) Electric Installation Verification form is attached ~' .... ' [] Electric - not applicable [] Install new or [] Replace gutters [] Install new or [] Replace downspouts [] Other work being done: (please note) Value of the job $ not paying for labor) (include fair market price for labor even if you are FAX 920 VAN ERT ELECTRIC ~ 00~ Electric Installation Verification (EI~I Con.actor (Address) / (City) (Sa~) (Zip C~e) have b~,eu con~t,d to perfo~ ,l~c ins~l~tion work for (Add~ts whew work ~11 be ~e na~ ~e of the work consis~ of: (~e~k One or D~cfibe ~e Na~e of Wo~) ~eco~ec~on or n~ ci~ult For ~¢~laoemeni Heating P!~t ~gor ~C Condoner, , ~ Reco~fion or n~' ei~uit for replacement EI~c~e Wst~ Heater. ~ Rc~ection nf~e $~ie~ Enzr~ce Cable, Meter ~ox, Ml~atio~a Ii,ting fixl~es, due ~ siding / ~offit i~tallation. N~te: New Semite Cabl~ w{ll requj~ a s~atc pe~t. Rc~<fion er new ci<uit for oth~ ~cntly ~d appli~ccs I fixtures. ~ Other The' vaiue ofthi~ work is $__~ ~0 I hereby v~dfy ~is work ~ill be perfo~d by ~ ~mploy~¢ of~is ~mp~ ~d ~h~r verify the ~cq~ectiom / installation will ~ don~ in compli~ with m~ufa~urer ~d E[~t~c taq~trcrc (Print Name ar Officer) (Dal~) 0512S/02 Tug 15:21 [TX/RX N0 5182]