HomeMy WebLinkAbout00085572 - Building (siding) CITY OF OSHKOSH No 0085572
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2004 MOUNT VERNON ST Owner ROBERT D/KIM M MAKI Create Date 04/26/2001
Designer Contractor OWNER
Category 141 -Exterior Remodeling Plan
Type 0 Building 0 Sign O Canopy O Fence O Raze
Zoning Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection
Finished/Living Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation • Poured Concrete 0 Floating Slab O Pier O Other
O 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/Replace asphalt siding on house&garage with vinyl due to age.*EIV from homeowner attached.
of Work
I '
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $30.00 Park Dedication $0.00
Issued By: //k/ Date 04/26/2001 Final/O.P.
E Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature _ x � '` 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 - '
2 The Property is owned by
3 I am the Q Owner OR I am the ❑ Contractor
4 The contractor doing the work is
5 This is a 0 Single Family Residence, ❑ Rental, ❑ Commercial
6 Work being done:
ROOFING
❑ Tear off and replace existing roofing on ❑ house, ❑ garage
❑ Replace wood decking
❑ Add 1 layer of roofing to the existing layer(s) on ❑ house, ❑ garage
This work is being done due to ❑ Hail Damage ❑ Other
SIDING
❑ Install siding on ❑ house, ® garage
❑ Replacing vinyl with vinyl
❑ Replacing steel or aluminum (circle one) with vinyl
❑ 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
❑ Install new or ❑ Replace gutters
❑ Install new or ❑ Replace downspouts
❑ Other work being done: (please note)
Value of the job $ (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
OfHKOJH Office 920-236-5050
ON THE WATER Fax 920-236-5084
Electric Installation Verification
I (We)
(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 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.
•
Homeowner(s) Signature (Date)