HomeMy WebLinkAbout0101308 BOSHKOSH
ON THE WATER
.lob.Address 941 OSBORN AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner MR/MRS KEVIN R LUFT
Contractor OWNER
Category 141 - Exterior Remodeling
No 0101308
Create Date 05/06/2003
Plan
Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. ~J Projection
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies
Garage 0 Sq. Ft. Baths 0 Signs
Foundation O Poured Concrete (~) Floating Slab (~) Pier (~) Other
(~) Concrete Block (~) Post (~) Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature SFR/Covering existing wood siding with new vinyl siding on the house, due to old age. *NO STRUCTURAL WORK. Homeowner EIV form.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$1,500.00 Plan Approval $0.00 Permit Fee Paid
$25.00 Park Dedication $0.00
Date 05/06/2003 Final/O.P. 00/00/0000
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
OSHKOSH
Address 941 OSBORN AVE WI 54902 - 6357 Telephone Number
OSHKOSH
ON THE WATER
Job Address 941 OSBORN AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner MR/MRS KEVIN R LUFT
Contractor OWNER
Category 141 - Exterior Remodeling
Type · Building O Sign O Canopy (~ Fence O Raze
No 0101308
Create Date 05/06/2003
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 O Pier O Other
(~ Concrete Block (~ Post O Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures
Size
[] Projection j
Canopies 0
Signs 0
Use/Nature SFR/Covering existing wood siding with new vinyl siding on the house, due to old age. *NO STRUCTURAL WORK. Homeowner EIV
of Work ;orm.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$1,500.00 Plan Approval $0.00 Permit Fee Paid
$25.00 Park Dedication $0.00
Date 05/06/2003 FinallO.P. 00/00/0000
[] Permit Voided
In the perforrj3ance of this work I agree to perforn) all work pursuant to rules governing the described construction.
/ ~
Signature~j~ ~ ~~- Date
! ~ V ~,' Agent/Owner
Address g41 OSBORN AVE OSHKO8H WI 54902 - 6357 Telephone Number
O,/HKO/H
ON THE V~ATER
City of Oshkosh
Division of Inspection Services
215 Church Avenue
POBox 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
I (We)
Electric Installation Verification
the homeowner(s) of
(print homeowner(s) name)
(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 or power vented
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 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. Work on a condominium,
duplex, rental, or multi-use building wouM require a licensed master
electrician.
Other
The value of this work is $ /00.0 G
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.
me ( ) 'gnature
(Date)
5/02