HomeMy WebLinkAbout0100976-Building (siding)OSHKOSH
ON THE WATER
.lob .Address 453 W 6TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner CAL M/HEATHER L HYSLOP
Contractor OWNER
Category 141 - Exterior Remodeling
No 0100976
Create Date 04/24/2003
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/Replace existing aluminum siding with vinyl on house. Replace 1 window with 2 (same size opening) *Homeowner EIV form attached. NO
of Work STRUCTURAL WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$4,500.00 Plan Approval $0.00 Permit Fee Paid
$40.00 Park Dedication $0.00
Date 04/24/2003 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
Address Oshkosh WI 54901 - 0000 Telephone Number
OSHKOSH
ON THE WATER
Job Address 453 W 6TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner CAL M/HEATHER L HYSLOP
Contractor OWNER
Category 141 - Exterior Remodeling
Type O Building
Sign (~ Canopy (~) Fence (~ Raze
No 0100976
Create Date 04124/2003
Plan
Zoning
Unfinished/Basement
Finished/Living
Garage
Foundation
Occupancy Permit
Park Dedication
Class of Const:
0 Sq. Ft. Rooms 0 Height 0 Ft.
0 Sq. Ft. Bedrooms 0 Stories
0 Sq. Ft. Baths 0
Poured Concrete (~) Floating Slab (~ Pier (~ Other
Concrete Block (~) Post (~ Treated Wood
Not Required Flood Plain Height Permit
# Dwelling Units 0 # Structures
Size
[] Projectio_n_ !
Canopies 0
Signs 0
Use/Nature
of Work
FR/Replace existing aluminum siding with vinyl on house. Replace 1 window with 2 (same size opening) *Homeowner EIV form
ttached. NO STRUCTURAL WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: }~
Plumbing Contractor
$4,500.00 Plan Approval $0.00 Permit Fee Paid
$40.00 Park Dedication $0.00
Date 04/24/2003 Final/O.P. 00/0010000
[] Permit Voided
In the performan~,~h~,~ork ~gree to perform,~work p~u~.~to rules governing the described construction.
Signature ~, ..... ~ ~-~ 7!! ~ Date
Agent/Owner
Address q S'~'~ · ~2'~-'~ ~ Oshkosh WI 54901 - 0000 Telephone Number
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)
Electric Installation Verification,
(print hoineowner(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
lighting to siding / soffit installation. Note: New Service
and
fixtures
due
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 master
electrician.
Other
The value of this work is $ I o r.:~ ~--
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) Signat~e''~'~
5/02
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
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 permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account
JOB ADDRESS
OWNER
CONTRACTOR
I am the:
~ CATEGORY
{/~$ingle Family [] Duplex
Work being done:
ROOFING
i~ Owner OR [] Contractor
[] Multi-Family [] Rental
[] Commercial
[] Industrial
F1 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
SIDING
~[Install siding on J~house, []
garage
[] Replacing vinyl with vinyl
([~' Replacing steel o~ with vinyl (~jmle-.steel"orlllllminnm)~
[] Replacing with
This work is being done due to [] Hail Damage .~' Other
!
layer(s) on [] house, [] garage
When siding is done, one of the boxes below must be checked:
1) ~?Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
'oy
(Name of Licensed ~lec~-ic Conlractor)
AND_'/~Electric Installation Verification f~rm is attached OR D Sel~arate Elect Permit wiIl be requested.
2) [] Electric - Not Applicable because: D J Blocks previously installed. E 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 $ (include fair market price for labor even if you are not paying for labor) 03/02