HomeMy WebLinkAbout0088498 - Building (reside home) CITY OF OSHKOSH No 0088498
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1517 MOUNT VERNON ST Owner ROBERT C MCAULEY LIFE ESTATE Create Date 08/20/2001
Designer Contractor OWNER
Category 141 -Exterior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze 1
Zoning Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. Ei Projection
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
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\Reside house due to storm damage,owner is doing electrical and E.I.V.attached.*NO STRUCTURAL WORK BEING DONE
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $30.00 Park Dedication $0.00
Issued By: 9D2 Date 08/20/2001 Final/O.P.
Ei Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature U 1 eff--(J-4-/ 3 Date pZ 0 ®(J
Agent
Address 1517 MT VERNON ST OSHKOSH WI 54901 - 3024 Telephone Number
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property (b(7 Mc- 1k DIJ
2 The Property is owned by ec4 t ("A U( (
3 I am the Owner OR I am the ❑ Contractor
4 The contractor doing the work is
5 This is a Single Family Residence, ❑ Rental, ❑ Commercial
6 Work being done:
ROOFING
❑ Tear off and replace existing roofing on ❑ house, ❑ garage
O Replace wood decking
O Add 1 layer of roofing to the existing layer(s) on ❑ house, ❑ garage
This work is being done due to ❑ Hail Damage ❑ Other
SIDING
ntkI�stall siding on , ❑ garage
❑ Replacing vinyl with vinyl
❑ Replacing steel or aluminum with vinyl (circle steel or aluminum)
❑ Replacing with
This work is being done due to ❑ Hail Damage ❑ Other
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 (Name of Licensed Electric Contractor)
❑ Electric— not applicable
8 I II new or ❑ Replace gutters
®'Install new or ❑ Replace downspouts
O Other work being done: (please note)
Value of the job $ 27' (include fair market price for labor even if you are
not paying for labor)
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Of H KO/H Office 920-236-5050
ON THE WATER Fax 920-236-5084
Electric Installation Verification
I (We) f;e T tiV AU
(print homeowner(s) name)
the homeowner(s) of (5r7
(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.
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 me and further verify the reconnection/
installation will be done in compliance with manufacturer and Electric code requirements.
11. °.,,Alsia:_/ 4 a P(2 0/ --*3
Homeowner(s) Signature • (Date)