HomeMy WebLinkAbout0146964-Building (siding) CITY OF OSHKOSH No 146964
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1229 W 10TH AVE Owner RUSSELL DEMLER Create Date 07/25/2011
Designer Contractor LETT SIDING & TRIM
Inspector Nicole Krahn
Category * 141 - Exterior Remodeling Plan
Type • Building O Sign O Canopy O Fence O 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 • Poured Concrete O Floating Slab O Pier 0 Other
0 Concrete Block O Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required # Dwelling Units 0 # Structures 0
Use /Nature SFR / REPLACE VINYL WITH STEEL SIDING ON THE HOUSE ONLY, EIV SIGNED BY THE HOMEOWNER (Russell Demler), NO
of Work STRUCTURAL CHANGES * *check #7595
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,000.01 Plan Approval $0.00 Permit Fee Paid $53.00 Park Dedication $0.00
Issued By: a\riNS/ Date 07/25/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1307880000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
Agent/Owner
Address 5737 CLEVEDON LN OSHKOSH WI 54904 - 9729 Telephone Number 920 - 233 -4144
* 141 - Exterior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500 -113 on the DNR
Asbestos Program website; http: / /dnr.wi.gov /air /compenf /asbestos /. For additional information on hazards present in buildings see
the Pre - Demolition Environmental Checklist at http: / /dnr.wi.gov /org /aw /wm /publications /anewpub /WA651.pdf
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236-5050 O11 -KO.IH
Fax: (920) 236 -5084
Roofing & Siding Permit Application 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 permits) 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
ifvou•want this processed through your account •
JOB ADDRESS 14911 (..0 9 +h. A _ _
OWNER PUSS OP of\ Q C
CONTRACTOR ROY\ \,,D C L i S id 19 * ¶u
I am the: 0 Owner OR rd'Contractor
X Sla CATEGORY
Siagle Family 0 Duplex 0 Multi - Family 0 Rental 0 Commercial 0 Industrial
Work being done:
ROOFING
0 Tear off and replace existing roofing on 0 house, 0 garage
0 Replace wood decking
0 Add 1 layer of roofing to the existing • layer(s) on 0 house, 0 garage •
This work is being done due to 0 Hail Damage 0 Other
SIDING
ItInstall siding on Douse, 0 garage
•
0 Replacing vinyl with vinyl . .
0 Replacing steel or aluminum with vinyl (circle steel or aluminum)
Replacing 1/1 ✓l with S•fe-e 1
This work is being done due to 0 Hail Damage 0 Other •
When siding is done, one of the boxes below must be checked:
1) 0 Elecctriic - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by ROMP 0 U3V).40r .
(Name of Licensed Elam Contractor)
AND 0 Electric Installation Verification farm is attached Og 0 Separate Elect Permit will be requested.
2) 0 Electric — Not Applicable because: 0 J Blocks previously installed. 0 No outside lights.' 0 Other
0 Install new or 0 Replace gutters
0 Install new or 0 Replace downspouts
•
Other related work being done: (please note)
•
Value of the job $ 2f(( O (include fair market price for labor even if are not paying for labor) 03/02
(-0 City of
Division of Inspection spection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903 -1130
0/1--KOM Office 920 - 236 -5050
ON THE WATER Fax 920 - 236 -5084
Electric Installation Verification
I (We) &ss `\ OeYs\P (—
(Electrical Contractor Name or Homeowner's Name)
t aD.c to Aug a5kk L6k �qqoI
(Address) (City) (State) (Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
rN , m e... •
(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 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 Electrical
Contractor.
Other
The value of this work is $
I hereby verify this work will be performed in compliance with the License requirements of
Section 11 -22 of the Oshkosh Municipal code and further verify the reconnection / installation
will be done in compliance with manufacturer and Electric code requirements.
A'usset L Op P r 1 Vg-
(Signature of Company Officer or Homeowner) (Print Name) (Date)
07/07