HomeMy WebLinkAbout0093699-Building (siding) g) CITY OF OSHKOSH No 0093699
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 912 MONROE ST Owner MARK A/SUSAN GOODACRE Create Date 04/18/2002
Designer Contractor OWNER
Category 141 - Exterior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning Class of Const: Size
Unfinished /Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. ❑ Projection
Finished /Living 0 Sq. Ft. Bedrooms 0 Stories Canopies 0
Garage 0 Sq. Ft. Baths 0 Signs 0
Foundation • 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
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR/Install vinyl siding over existing wood siding on house.* NO STRUCTURAL WORK. Homeowner EIV form attached.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation / $3,700.00 Plan Approval $0.00 Permit Fee Paid $35.00 Park Dedication $0.00
Issued By: 0.- Date 04/18/2002 Final /O.P. 00 /00 /0000
I 0 Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature 22,0-4 .�,/' . Date c/_ /'C
+� Agent/Owner .
Address t' = Oshkosh WI 54901 - 0000 Telephone Number "3 1 cr
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property "la` i
2 The Property is owned by eikziaeg e.
3 I am the %Owner OR I am the ❑ Contractor
4 The contractor doing the work is
5 This is a LkSingle 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
❑ Install siding on VI house, ❑ garage
❑ Replacing vinyl with vinyl
❑ Replacing steel or alumi um with vinyl (circle steel or aluminum)
`,s
❑
lie.preeiag 7tj/ with Vdt►,
This work is being done due to ❑ Hail Damage ❑ er
When siding is done, one of the boxes below must be checked:
i
(— Electric — Electric Meter, receptacle, lighting and Electric Service entrance
alterations /modifications are being performed b y
Electric Installation Verification form is attached (Name of Licensed Electric Contractor)
- Electric — not applicable
❑ Install new or ❑ Replace gutters
❑ Install new or ❑ Replace downspouts
❑ Other work being done: (please note)
Value of the job $ 3/ 70 0 (include fair market price for labor if you are
not paying for labor
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903 -1130
0/1---KO f H Office 920 -236 -5050
ON THE WATER Fax 920 - 236 -5084
Electric Installation Verification
I (We) 171..„44 ,,ee l l0.61�14�
(print homeowner(s) name)
the homeowner(s) of / � , 2 4 J
(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.
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.
qk Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
cr
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.
7 /1711 & I iii e tc /0 2—
Homeowner(s) Signature ate)