HomeMy WebLinkAbout0087098-Building (siding & windows) le CITY OF OSHKOSH No 0087098
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1927 MICHIGAN ST Owner MICHAEL & JUNE HAIG Create Date 06/28/2001
Designer Contractor PAT WONG WINDOW AND SIDING
Category 141 - Exterior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I
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 0 Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit Not Required
Park Dedication Not Required # Dwelling Units 0 # Structures 0
Use /Nature SFR / REPLACING WOOD WITH VINYL SIDING ON HOUSE AND GARAE, INSTALL NEW GUTTERS ON GARAGE ONLY, INSTALL
of Work REPLACEMENT WINDOWS
* *ARROW ELECTRIC SIGNED EIV FORM **
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $14,000.00 Plan Approval $0.00 Permit Fee Paid $77.00 Park Dedication $0.00
Issued By: S ,, Date 06/28/2001 Final /O.P.
❑ Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature C ��K� Date 6 f3/0
Agent/Owner
Address 2020 N BIRCHWOOD AVE APPLETON WI 54914 - 0000 Telephone Number 428 -1773
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property / 9,? 7 _s ri <<X -7.4-.
2 The Property is owned by , -2t ' /K,.�! -
3 I am the ❑ Owner OR I am the In'Contractor
4 The contractor doing the work is /ig�� --7 --- ; . y , cQ r`-5:" 7
5 This is a Single Family Residence, ❑ Rental, ❑ Commercial
6 Work being done:
ROOFING
❑ Tear off and replace existing roofing on ❑ house, ❑ garage
❑ Replace wood decking
❑ Add 1 layer of roofing to the existing layer(s) on ❑ house, ❑ garage
This work is being done due to ❑ Hail Damage ❑ Other
SIDING ��--
all siding on Vie, Egarage
❑ Replacing vinyl with vinyl
❑ Replacing steel or aluminum (circle one) with vinyl
❑ Replacing tJ C o 9 with Li7
This work is being done due to ❑ Hail Damage ❑ Other
When sidin ' done, one of the boxes below must be checked:
Electric - Electric Meter, receptacle, lighting and Electric Service entrance
alterations /modifications are being performed by .42 cfFC
Electric Installation Verification form is attached (Name of Licensed Elects Contractor
❑ Electric - not applicable
[3 Install new or replace gutters O� ��"'t .¢y ( c'-)7
❑ Install new or 0 Replace downspouts
❑ Other work being done: (please note) .L-t r 7/ V79C f...-t.,Z I
.::: i
Value of the job $ /Vca"
J (include fair market price for labor even if you are
not paying for labor) /
City ion of
11110i19 Division Oshkosh
Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54902 -] 130
O1H�rH
Office e 920-236-5050
ON THE WATER Fax 920 - 236 - 5084
Electric Installation Verification
(I) (We) J r")#,U ?LIP
(Electrical Contractor Name)
-9 go avc 04sliko
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for i344 (.J r,.., S; S.;15
(Name of party contracted to)
at the following address: / S ( 2 7 S - M."64
(Address where work will be performed)
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.
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 other permanently wired appliances / fixtures.
Other
The value of this work is $ ); ,, .�- /r(.. �� .
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
/ � n'"
(5 - ��/ e f Company Officer) (Print Name of Officer) (Date)