HomeMy WebLinkAbout0100872-Building (siding)OSHKOSH
ON THE WATER
,Job Address 1225 NIMROD CT
Designer
Category 141 - Exterior Remodeling
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner BRIAN D/TANYA R KASUBOSKI
Contractor OWNER
Type · Building O Sign O Canopy O Fence O Raze
No 0100872
Create Date 04/21/2003
Plan
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. [] ProjectionI
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies
Garage 0 Sq. Ft. Baths 0 Signs
Foundation · Poured Concrete (~ Floating Slab (~ Pier (~) Other
(~) Concrete Block (~ Post O Treated Wood
Occupancy Permit Not Required Flood Plain __ Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature
of Work
SFPJ Installing vinyl siding on the house. The electrical work will be done by the owner, an EIV form is in the file.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
Plumbing Contractor
$3,500.00 Plan Approval $0.00 Permit Fee Paid $35.00 Park Dedication $0.00
Date 04/21/2003 FinallO.P. 00/00/0000
[] Permit Voided
In the perf°rmance °f this w°rk ' agree t~rf°rm aT,.~°rk ~ant t° rules g°veming the described c°nstructi°n'
~ / AgenFOwner
Address 1225 NIMROD CT OSHKOSH WI 54902 - 2628 Telephone Number
OSHKOSH
ON ~HE 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
I (We)
the homeowner(s) of
Electric Installation V erification
(print homeowner(s) name)
(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 or power vented
water heater.
c.---Reconnection og~e Service Entrance Cable, Meter Box, alterations to~
and~g fixt~'~_ ue to siding / soffit installation. Note: New Service
Entrance Cables wi~l 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 master
electrician.
Other
The value of this work is $ [I~
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
City of Oshkosh
Inspection Services Division
P OBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
O/HKO/H
ON THE W'ATER
· 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
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account
JOB ADDRESS
OWNER
CONTRACTOR
I am the: ~er OR
[] Contractor
eATEGORY
Family [] Duplex
FI Multi-Family
[] Rental [] Commercial [] Industrial
Work being done:
ROOFING
[] Tear offand replace existing roofing on [] house, [] garage
[] Replace wood decking
[] Add 1 layer of roofing to the existing
This work is being done due to [] Hail Damage [] Other
[] Install siding on ~ffiouse, [] garage
[] Replacing vinyl with vinyl
[] Replacing steel or aluminum with vinyl (circle steel or aluminum)
This work is being done due to [] Hail Damage [] Other
When siding is done, one of the boxes below must be checked:
layer(s) on [] house, [] garage
1) [] Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND ~ Electric Installation Verification f~rm is attached OR :n Sel3arate Elect Permit MI! be requested.
2) 'Fl Electric - Not Applicable because: ,~ J Blocks previously installed. [] No outside lights. [] Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note).
Value of the job $ _~ ~-F__~
(include fair market price for labor even if you are not paying for labor)
03/02