HomeMy WebLinkAbout0089161-Building (roof & siding) g) , CITY OF OSHKOSH No 0089161
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1653 MINNESOTA ST Owner BARBARA G LEINWEBER Create Date 09/14/2001
Designer Contractor IMPROV- IT.COM
Category 141 - Exterior Remodeling Plan
Type 0 Building 0 Sign 0 Canopy 0 Fence 0 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 0 Poured Concrete 0 Floating Slab 0 Pier • Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature RES/ Reroof, tear off and reshingle. Reside house with vinyl siding. Install new gutters and spouts.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $18,886.00 Plan Approval $0.00 Permit Fee Paid $92.00 Park Dedication $0.00
Issued By: Date 09/14/2001 Final /O.P.
❑ Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature ` Date c. — /y" Q,
Agent/Owner
Address 410 E FOREST AVE NEENAH WI 54956 - 0000 Telephone Number 920 -231 -2060 M920 -'
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property I4, 53 /kr e•3 724 _ST
2 The Property is owned by LA e y 9 ` �A�� ,G& /A VE& R .
3 I am the ❑ Owner OR I am the ❑ Contractor
4 The contractor doing the work is''P - Z� / G� N K H N ET S117'146"
5 This is al Single Family Residence, 0 Rental, ❑ Commercial
6 Work being done: £ —/fOO d_ , - -S 4 - 6
ROOFING
Tear off and replace existing roofing on O ❑ 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 Ai Other C.5 72,2,e242_
SIDING
Install siding on 5Vhouse, ❑ garage
%Replacing vinyl with vinyi
❑ Replacing steel or aluminum with vinyl (circle steel or aluminum)
❑ Replacing with
This work is being done due to ❑ Hail Damage Other. 77e/YI
When siding is done, one of the boxes below must be checked:
❑ Electric — Electric Meter, receptacle, lighting and Electric Service entrance
alterations/modifications are being performed by
Electric Installation Verification form is attached a"'°° ° r
❑ Electric — not applicable
Install new or ❑ Replace gutters
Install new or ❑ Replace downspouts
❑ Other work being done: (please note)
Value of the job $ �0 ?et° (include fair market price for labor even if you are
not paying for labor)
1
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
/� ��//� Oshkosh WI 54902 -1130
W f I<CC/ H Office 920- 236 -5050
ON THE WATER Fax 920 - 2365084
Electric Installation Verification
(I) (We) n e xi(f- -T°elJ 77D
(Electrical Contractor Name)
7'/'f //T 17, 6eAMA1 LS'T 71 / ....1z/7 /
(Address) . (City) (State) (Zip Code)
�,17/ --6 YE - /T/ -L� /�
have been contracted to perform electric installation work for , .....C.,4-./.61s./.1 /IMF/ �7
(Name of party contracted to
at the following address: / Lv53 Hi u --So A L57
(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 $ .
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.
Jim Q�s T'4 c� 9 -)z v,
gnature of Company Officer) (Print Name of Officer) (Date)