HomeMy WebLinkAbout0100456 BOSHKOSH
ON THE WATER
.lob .Address 1023 N LARK ST
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner JOSHUA J/PATRIC HElL
Contractor OWNER
Category 141 - Exterior Remodeling
No 0100456
Create Date 03/27/2003
Plan
Type I(~ 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/Replacing existing wood siding with new vinyl siding on the house, due to rotting. Replacing 1 kitchen window (same size and location)
of Work and 1 livingroom window (smaller). *EIV form from Homeowner. Living room shall maintain 8% natural light and 4% natural ventilation.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$6,000.00 Plan Approval $0.00 Permit Fee Paid
$45.00 Park Dedication $0.00
Date 03/27/2003 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 1023 N LARK ST WI 54902 - 3349 Telephone Number
OSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
1023 N LARK ST
141 - Exterior Remodeling
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner JOSHUA J/PATRIC HElL
Contractor OWNER
· Building 0 Sign 0 Canopy 0 Fence 0 Raze
No 0100456
Create Date 03/27/2003
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 C) 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 I
Canopies 0
Signs 0
Use/Nature
of Work
SFR/Replacing existing wood siding with new vinyl siding on the house, due to rotting. Replacing 1 kitchen window (same size and
ocation) and 1 livingroom window (smaller). *EIV form from Homeowner. Living room shall maintain 8% natural light and 4% natural
ventilation.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$6,000.00 Plan Approval $0.00 Permit Fee Paid
$45.00 Park Dedication $0.00
Date 03/27/2003 Final/O.P. 00/00/0000
[] Permit Voided
In the pe[formj~nce of this work I agree to perform all work pursuant to rules governing the described construction.
f~¢~ ~ Date
Address~023TM LARK ST OSHKOSH WI 54902 - 3349 Telephone Number
,;"'¢ 7-0.':'>
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 T~qE Vv'ATFR
· 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 Account System and have adequate funds, check here
if you want this processed through vour account ["]
I am the: ~Owner OR [] Contractor
USE CATEGORY
~ingle Family [] Duplex
[] Multi-Family
[] Rental
[] Commercial
[] Industrial
Work being done:
ROOFING
[] Tear offand replace existing roofing on [] house, [] garage
[] Replace wood decking
[] Add I layer of roofing to the existing
This work is being done due to [] Hail Damage [] Other
SIDING
~Install siding on Xhouse, [] garage
[] Replacing vinyl with vinyl
layer(s) on [] house, [] garage
[] Replacing steel or aluminum with vinyl (circle steel or aluminum)
~Replacing ~) r)t~C~ with This work is being done due to [] Hail Damage ~ Other
~W) ~ESiding is done, one of the boxes below must be checked:
lectric_-- Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed~lectric Contractor)
AND,~lectric Installation Verification f~rm is attached OR 7z Sel~arate Elect Permit wffi be requested.
2) [] Electric - Not Applicable because: [] J Blocks previously installed. [] No outside lights. E Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note) I~,
· l,'~/?~c~ f'oo~ ~;1[ ldo. cma~It.r-
Value of tlie jo arket price for labor even if you are not paying for labor)
03/02
OYHKO/H
ON THE WATER
City of Oshkosh
Div/sion oflnspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I(We) 00~ !4¢, I
the homeowner(s) of
/c 0 3
(print homeowner(s) name)
(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 off (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 ~ (5~
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.
/cf/ Homeowner(s) Signature (Date)
5/02