HomeMy WebLinkAbout0101247-Building (siding garage)OSHKOSH
ON THE WATER
Job Address
Designer
Category
1308 W BENT AVE
141 - Exterior Remodeling
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner PATRICK G/DEBRA RYAN
Contractor OWNER
Type · Building O Sign O Canopy (~ Fence (~ Raze
No 0101247
Create Date 05/05/2003
Plan
Zoning Class of Const:
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft.
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories
Garage 0 Sq. Ft. Baths 0
Foundation · Poured Concrete O Floating Slab (~ Pier (~) Other
(~ Concrete Block O Post (~ Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures
Size
[] ProjectionI
Canopies 0
Signs 0
0
Use/Nature ~FPJ Covering existing wood siding with new vinyl siding on the garage only. *NO STRUCTURAL WORK. EIV form from homeowner.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$1,000.00 Plan Approval $0.00 Permit Fee Paid
$20.00 Park Dedication $0.00
Date 05/05/2003 FinallO.P. 00/00/0000
[] Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature~ .,~_~.~~~~~ Date
-/ ' ~//' Agent/Owner
Address 1308W BENTAVE OSHKOSH WI 54901 - 2727 Telephone Number
City of Oshkosh
Inspection Services DiVision
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236,5084
Roofing & Siding Permit Application
O/HKO/H
ON 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 you are a contractor participating in the Permit fee Account System and have adequate funds, check here
~f ¥ou want this processed through your account
JOB ADDRESS
OWNER ~
CONTRACTOR
I am the:
~SE CATEGORY
[~Single Family [] Duplex
Work being done:
ROOFING
Owner OR [] Contractor
El Multi-Family
[] Rental
[] Commercial
[] Industrial
[] Tear offand replace existing roofing on [] house, [] garage
[] Replace wood decking
[] Add I l~yer of roofing to the existing
This work is being done due to [] Hail Damage [] Other
SIDING
knstall siding on [] house, [~g. arage
eplacing vinyl with vinyl
[] Replacing steel or aluminum with vinyl (circle steel or aluminum)
~"'~~g ' ~ ,:Z-J K:I~,F)d with
This work is being done due to [] Hail Damage [] Other
layer(s) on [] house, [] garage
When siding is done, one of the boxes below must be checked:
~x~leetric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
1)
(Name of Licensed E~tric Contractor)
AND ~3~Electric Installation Verification f~rm is attached O___~R [] SeI~arate Elect Permit will be requested.
2) [] Electric - Not Applicable because: [] J 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 $ ",~/d~t~. ~
(include fair market price for labor even if you are not paying for labor) 03/02
O_/HKO/H
City of Oshkosh
Division oflnspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
(We)
the homeowner(s) of
Electric Installation Verification
(print homeowner(s)
(address where work is to be perforrr~ed)
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 or power vented
Xwater 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 the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of A/C to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single family owner occupied home. V/ork on a condominium,
duplex, rental, or multi-use building wouM require a licensed master
electrician.
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.
¥ Hom ~own~r~i-gnatt~re
/(Date}/
5/02