HomeMy WebLinkAbout0092426 - Building (siding) CITY OF OSHKOSH No 0092426
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1807 MOUNT VERNON ST Owner SCOTT A ZASKE Create Date 01/29/2002
Designer Contractor OWNER
Category 141 -Exterior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
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 0
Garage 0 Sq.Ft. Baths 0 Signs 0
Foundation • Poured Concrete 0 Floating Slab C 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 FR/Replacing existing steel siding with vinyl siding on house,due to hail damage. *NO STRUCTURAL WORK. EIV form from
of Work omeowner attached.
i
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $40.00 Park Dedication $0.00
Issued By: Date 1/29/02 Final/O.P.
❑ Permit Voided j
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signatur- , ."- Date /- ��
/
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
:`
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property { Lf ,'YIT Vt'f(,Y) S�
2 The Property is owned by �C -I LiS K _ d Le'c t.) ce,5
3 I am the l kOwner OR I am the ❑ Contractor
•4 The contractor doing the work is LO1f+7 C n.Yi tC-hun
5 This is a'I1fSingle Family Residence, ❑ Rental, ❑ Commercial
6 Work being done:
ROOFING
❑ Tear off and replace existing roofing on ❑ house, ❑ garage
❑ Replace wood decking
O Add 1 layer of roofing to the existing layer(s) on ❑ house, ❑ garage
This work is being done due to 0 Hail Damage ❑ Other
SIDING
siding on house, ❑ garage
>6_Install
❑ Replacing vinyl with vinyl
XReplacinstgat r aluminum wit ircle steel or aluminum)
O Replacing with
This work is being done due to,Hail Damage ❑ Other
When siding is done, one of the boxes below must be checked:
KElectric- Electric Meter, receptacle, lighting and Electric Service entrance
alterations/modifications are being performed by /(same o"'�iJ`e' ontractor)
Electric Installation Verification form is attached
O Electric - not applicable
O Install new or 0 Replace gutters
O Install new or ❑ Replace downspouts
❑ Other work being done: (please note)
Value of the job $ ,13-Ct" ),(O (include fair market price for labor even if you are
not paying for labor)
of I
City of Oshkosh
(11--OP—) Division Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
OJHKOIH Office 920-236-5050
ON THE WATER Fax 920-236-5084
Electric Installation Verification
I (We) C '.S(.{c 2c ke..
(print homeowner(s)name)
the homeowner(s) of l�� T� Vcl'j -- S.
(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 kiting fifiXur jdue 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 $ 1C0.
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.
c)Cl
Hom wne s Signature (Date)