HomeMy WebLinkAbout0157780-Building (siding & window) � CITY OF OSHKOSH No �s7�so
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1190 BLOSSOM CT Owner CAROL J STADLER Create Date 09/17/2013
Designer Contractor NOFFKE ONE CUSTOM BUILT :
inspector Nicole Krahn
Category 042-Residential Siding Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-3 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection j
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
0 Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature FR/Installing siding on house only. Replacing cedar shake siding with vinyl due to rot damage. Electric not applicable due to no
of Work outside lighting. Replacing one window. No structural changes.
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuatio $1,500.00 Plan Approval $0.00 Permit Fee Paid $44.00 Park Dedication $0.00
Issued B . / Date 09/17/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1323750000
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 un erstand the afore en'o ed information.
� � Date
Signature —
AgenUOwner '
Address 7816 COUNTY RD B WINNECONNE WI 54986 - 0000 Telephone Number 920-582-0737
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 54903-1 1 30
Phone:(920)236-5050 OlHKOlH
Fax:(920)236-5084
Roofing & Siding Permit Application �N 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 vou are a contractor narticipatinQ in the Permit fee Account System and have adeguate funds check here
if vou want this nrocessed through vour account I—I
JOB ADDRESS__ ! l�� �L���� ��
OVVNER ( 7�OC. ��IJC�K�
CONTRACTOR /�JG FC-(CE QUE Cu�tZS��-c I��� 1 L 1
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,❑gazage
❑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 r aluminum with vinyl(circle steel or aluminum)
❑Replacing �t�� ���� with ti�f�L
This work is being done due to O Hail Damage ,�11Jther �i N�
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 Elecu ic Contractor)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) �Electric—Not Applicable because: ❑J Blocks previously installed.�No outside lights. C Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note) ��Q(� ��v��
Value of the ob $����- ��'
J (include fair market price for labor even if you are not paying for labor) 03/02