HomeMy WebLinkAbout0157000-Building (windows & siding) � CITY OF OSHKOSH No 157000
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD :
ON THE WATER
Job Address 1235 MOUNT VERNON ST Owner RYAN R PEISSIG/LAURA M BAENEN Create Date 07/31/2013
Designer Contractor OWNER
Inspector John Zarate
Category 042-Residential Siding Plan
Type � Building 0 Sign � Canopy � Fence � Raze
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 0 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/install siding on house,replace(3)windows in existing openings
of Work ;
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: '�'11_ Date 07/31/2013 Final/O.P. 00/00/0000
� ❑ Permit Voided I Parcel Id# 1506710000
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 permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address Oshkosh WI 54901 - 0000 Telephone Number
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 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 O LJI/O L1
Fa�c:(920)236-5084 f lt\ f 1
ON THF WATPR
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$100.00 plus the
normal permit fee,which ever is greater.
OR
1 ou are a contractor artici atin in the Permit ee Account S stem and have ade uate unds check here
i ou want this rocessed throu h our account
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JOB ADDRESS 1�3 � NI � V���,� S �
owivER r.• a�.� �..�u t r -�� JUL 3 0 Z013
CONTRACTOR
�/ CAJH�ilP��7y�E'���T OF
I am the: [id"�wner OR ❑Contractor ��rrro�sE�`.��5���
U$E CATEGORY
t�Single Family 0 Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
❑Tear off and replace existing roofing on❑house,�gazage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on O house,0 garage
T6is work is being done due to O FIsil Daznage ❑Otfier
s�Install sidtng on L�l house, ❑garage
❑Replacing vinyl with vinyl ��1 `c, an. O�t/v �,� ( `
❑Replacing steel or aluminum wiW vinyl(circle steenl or aluminum)� � d��'— b� 0���-
I�Replacing S►�te�✓t n ti.��S a�e. �.a J�1( �� �n a�.�
This work is being done due to❑Hail Damage �1 Other A'F'G`t �ild,_!H.�.d^ /1�S'f �`i Yl Otti$e
When siding is done,one of the bozes below must be checked�
1) ❑Electric—Eacisring Electric Meter,receptacle,lightieg and Electric Service entrance alterations/modifications are being performed
by
(Namc of Licensed Electric Conhactot)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requestad.
2) �Electric—Not Applicable because: ❑J Biceks previously installed. ❑No outside lights. 6�Other �<<�1��►� ���'1 t�
��� �SSS6�
❑Install new or�tteplace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note) V�.� /�L, 3 �k� h� w�� 1 � �U� �'L,
ncw [,�i�9ba..�S
Value of the job$3 OIX�•a� (include fair market price for labor even if you are not paying for labor) 03/02
4
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