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Home My WebLink About0100776 BOSHKOSH ON THE WATER .lob.Address 1054 VAN BUREN AVE Designer CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner SHERRYSCHROEDER Contractor OWNER Category 141 - Exterior Remodeling No 0100776 Create Date 04/14/2003 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/Covering existing foam-board siding with new vinyl siding on the house. *NO STRUCTURAL WORK. EIV form from Homeowner. of Work HVAC Contractor Electric Contractor Fees: Valuation Issued By: Plumbing Contractor $2,500.00 Plan Approval $0.00 Permit Fee Paid $30.00 Park Dedication $0.00 Date 04/14/2003 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 1054 VAN BUREN AVE WI 54902 - 3468 Telephone Number OSHKOSH ON THE WATER Job Address Designer Category Type 1054 VAN BUREN AVE 141 - Exterior Remodeling CITY OF OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD Owner SHERRY SCHROEDER Contractor OWNER · Building O Sign O Canopy O Fence (~ Raze No 0100776 Create Date 04/14/2003 Plan 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 Garage 0 Sq. Ft. Baths 0 Signs Foundation · Poured Concrete (~) Floating Slab O Pier O Other (~ Concrete Block (~ Post O Treated Wood Occupancy Permit Not Required Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use/Nature ~FR/Covering existing foam-board siding with new vinyl siding on the house. *NO STRUCTURAL WORK. EIV form from Homeowner. of Work HVAC Contractor Electric Contractor Fees: Valuation Issued By: ~¢~ · Plumbing Contractor $2,500.00 Plan Approval $0.00 Permit Fee Paid $30.00 Park Dedication $0.00 Date 04/14/2003 FinallO.P. 00/00/0000 [] Permit Voided In the perfc~mar~ce, o[ this work I agree to per[orm all work pursuant to rules governing the described construction. Signature %~ 5~j.{ ~'~-.~J(~(~ Date ~ L AgenFOwner Address 1054 VAN BUREN AVE OSHKOSH WI 54902 - 3468 Telephone Number 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 · 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 I£¥ou are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account CONTRACTOR I am the: I~Owner OR [] Contractor ~E CATEGORY I~Single Family r"l Duplex [] Multi-Family [] Rental [] Commercial [] IndUstrial Work being done: ROOFING [] Tear offand replace existing roofing on [] house, [] garage Fl Replace wood decking [] Add 1 layer of roofing to the existing This work is being done due to [] Hail Damage [] Other SIDING Install siding on ~ house, [] garage Replacing vinyl with vinyl [] ~acing steel or aluminum with vinyl (circle steel or aluminum) This work is b'~ done due to [] Hail Damage ~ Other . ~--~ layer(s) on [] house, [] garage Widens. siding is done, one of the boxes below must be checked: 1) ~ Electric 7 J~xisting Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed CName~of Licensed El~,~c Contractor) AND./~lectric Installation Verification f~rm is attached O__gR B Sel~arate Elect Permit wffi be requested. 2) [] Electric - Not Applicable because: [] J Blocks previously installed. E No outside lig.hts. [] Other [] Install new or [] Replace gutters [] Install new or [] Replace downspouts Other related work being done: (please note) Value of the jOb * t~~/,0 (include fairmarket price for labor even ifyou arenot paying for labor) 03,02 O/HKO/H ON THE W^TER City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903-1130 Office 920-236-5050 Fax 920-236-5084 Electric Installation Verification (print homeowner(s) name) the homeowner(s) of (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 AdC 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 AdC 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 $ (~).C0 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. Homeowner(s) Signature (Date) 5/02