HomeMy WebLinkAbout0100485 BOSHKOSH
ON THE WATER
.lob .Address 1643 OHIO ST
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner MICHAEL D/KATRI JUEDES
Contractor OWNER
Category 141 - Exterior Remodeling
No 0100485
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 SFR/Replace existing asphault siding with new vinyl on the house. *NO STRUCTURAL WORK. EIV form from the homeowner.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$5,000.00 Plan Approval $0.00 Permit Fee Paid
$40.00 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 1643 OHIO ST WI 54902 - 6751 Telephone Number
OSHKOSH
ON THE WATER
Job Address 1643 OHIO ST
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner MICHAEL D/KATRI JUEDES
Contractor OWNER
Category 141 - Exterior Remodeling
Type · Building (~ Sign O Canopy O Fence O Raze
No 0100485
Create Date 03/28/2003
Plan
Zoning
Unfinished/Basement 0 Sq. Ft.
Finished/Living 0 Sq. Ft.
Garage 0 Sq. Ft.
Foundation · Poured Concrete (~ Floating Slab
O Concrete Block O Post
Occupancy Permit
Park Dedication
Not Required
Class of Const:
Rooms 0
Bedrooms 0
B~hs 0
Pier O Other
Height
Stories
0 Ft.
(~) Treated Wood
Flood Plain Height Permit
# Dwelling Units 0 # Structures
Size
[] ProjectionI
Canopies 0
Signs 0
Use/Nature SFPJ Replace existing asphault siding with new vinyl on the house. *NO STRUCTURAL WORK. ElY form from the homeowner.
of Work
HYAC Contractor
Electric Contractor
Fees: Valuation
Issued By: F~f~
Plumbing Contractor
$5,000.00 Plan Approval $0.00 Permit Fee Paid
$40.00 Park Dedication $0.00
Date 03/28/2003 FinallO.P. 00/00/0000
[] Permit Voided j
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature ~/,~Fv~/j~ _~_(~ ,~ Agent/Owner Date
Address 1643 OHIO ST OSHKOSH WI 54902 - 6751 Telephone Number
O/HKO/H
ON THE W,~T[R
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We)
(print homeowner(s) name)
the homeowner(s) of
(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 would require a licensed master
electrician.
Other
The value of this work is $
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.
Homeo~Cn~ri~'gnature
(Date)
5/O2
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
If you are a contractor participating in the Permit fee Acc'ount System and have adequate funds, check here
if you want this processed through your account ~
CONTRACTOR
I am the: ~ Owner OR [] Contractor
USE CATEGORY
.~ Single Family Duplex
[] Multi-Family
[] Rental
rnCommercial
[] Industrial
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 [] Other
SIDING
~2~Install siding on ~ouse, [] garage
/[] Replacing vinyl with vinyl
layer(s) on [] house, [] garage
- [] Replacing steel or aluminum with vinyl (circle steel or aluminum)
)~1 Replacing ~.~,p~f~' with ~l[~.~ I, ~[f~
This work is being done due to [] Hail Damage ~ Other
When siding is done, one of the boxes below must be checked:
1) ~Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by -
(Name of Licensed Electric Contractor)
AND [] Electric Installation Verification f~rm is attached O___~R [] Sel~arate Elect Permit wffi be requested.
2) [] Electric - Not Applicable because: Z J Blocks previously installed. [] No outside lights. [] Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note)
Value of the job $ , (include fair market price for labor even if you are not paying for labor) 03/02