HomeMy WebLinkAbout0155752-Building (siding) � CITY OF OSHKOSH No 155752
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 413 W 16TH AVE Owner TARA S SCHUELKE/SCOTT JOHNSON Create Date 05/22/2013
Designer Contractor SULLIVAN EXTERIORS LLC
Inspector Nicole Krahn
Category 042-Residential Siding Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-2 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 � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee _ $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR\Residing house due to hail damage
of Work ,
�
I i
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation _ $6,300.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: �� —� Date 05/22/2013 Final/O.P. 00/00/0000
❑ Permit Voided! Parcel Id#0907810000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this p ' application wit �n an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and sec e any provals before starting such activity.
I have re an derstand af inentioned information.
Signat Date
AgenUOwner
Address 856 W 12TH AVE OSHKOSH WI 54902 - 0000 Telephone Number (920)894-8984
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh �
Inspection Services Division �
P O Box I 130
Oshkosh,WI 54903-11�0
Phone: (920)236-5050 O.IHKOlH
Fax:(920)236-5084
ON THE WATER
Roofing & Siding Permit Application
• 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 vou are a contractor participating in the Permit fee Account Svstem and have adeguatefunds, check here
if vou want this processed through vour account n
�os AnnuESS �-{ l 3 �. � lo�" �v2
ov�'NER T�r ra �o�.�Sv r�
CONTRACTOR `�(��LiJ0./1 t��L~�°f�oC��� � _
I am the: �Owner OR ❑ Contractor
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
❑Tear off and replace existing roofing on❑house,❑garage
❑Replace�vood decking
❑Add 1 layer of roofing to the existing layer(s)on 0 house,❑gazage '
This work is being done due to❑Hail Damage ❑Other
SIDING
❑Install siding on �house, ❑garage
❑Replacing vinyl with vinyl :
�I 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:
1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed ElecVic Convactor) �
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2).�]Electric—Not Applicable because:�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�Q �c�� ,U O (include fair market price for labor even if you are not paying for labor) 03/02