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Home My WebLink About0101443-Building (siding)OSHKOSH ON THE WATER .lob .Address 642 EVANS ST Designer CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner JULIEASHAFFER Contractor WRIGHTWAY INC Category 141 - Exterior Remodeling No 0101443 Create Date 05/13/2003 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/Replace wood siding on house with steel. Install 3/8" insulation; wrap windows and doors. *NO STRUCTURAL WORK. Homeowner EIV of Work Form on file. HVAC Contractor Electric Contractor Fees: Valuation Issued By: Plumbing Contractor $8,700.00 Plan Approval $0.00 Permit Fee Paid $80.00 Park Dedication $0.00 Date 05/13/2003 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 FOND DU LAC Address W6764 HWY23 WI 54937 - 0000 Telephone Number 1-800-923-0721 MAY-I?-OS MON 2:12 PM City o'f Os~o-~h l~upection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 lax: (920) 236*5084 W~IGHTWAY INC, ~AX NO, 920 929 8999 Roofing & Siding Permit Application ?, 2 · Appli~tion(s) and fee(s) can bc brought to City Hall, Room 205 or mailed to Imspcction Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus thc normal permit fcc, which ever is greater. OR 1~_ you pre a contractor t~artjcipating in the_Permit fee Account System and have adeouate .funds. check her__Ke i~'-vou want tAis processed thro~eh ~ou.r~aecount [] CATEGORY gin Faroily ri Dtlplex C] Multi-Family [] Rental Commercial [] Industrial Work being done: ROOFING El Tear offsad replace ex, isting roofinl~ on [3 house, [] garage C] Replace wood decki~8 CI Add 1 lair of~fing to ~e existing __ ~is work is ~in8 done due m O Hail D~ge O ~ SIDING ~Install siding on ~hou~, ~ garage ~ Replacing ~n~ ~th ~ layers) on D house, r'! garage t~ Repl~ing steel or aluminum with vinyl (circle steel or aluminum) Ibis work is being dorm due tO I'1 Hail Damage [] O~er When siding is done, one of the boxes below must be checked: !) ~lii~Electtic - Exisdn8 Eleclgc Meter' receptacle, lighting and Elect~zc Service entrance ahera~°ns/m°d~f~catt°ns are bem~ Petf°nned "~ame of Ceensq]i~l~ Co .e~.mO ........ .. ........ OR 9 S'4'arate Elect Permit will be requested. AND__.~,~lccffic InStallation vcfll)cauol110tm ts unto;nco ~ -r 2) 'fl I~lect~i¢ - Not Applicable because: ~ J Blocks previously installed. El No outside lights. [3 Chhcr., [3 Install new or El Replace gutters [] Install new or 0 Replace downspouts Other related work being done: (please note) Value of the job $ ~7~-~. '~ (include fair ~ket price for Isbor even if Y°u "re "o~ PaYing f°r lab°r) 03/0~ INC, FAX NO, 920 929 8999 P, 3 Electric Installation Verification ..... ....... (print homeowner(s) name), - taddm~s ~hece work is to be performed) accept the responsibility for performing Iht elec~ical work as stated boloxv for fl~e prop~y listed above. 'l'he nat~e of the ~ork consis~ of: (Check One or Describe the Naturc of Work) Reconncctim~ or new circuit for replacement Heating Plant ~or ~C Condmiser. ~' Re~eclion or new cizcuit for replacement Electric Water Heater. ~ Rceo~oction of thc Service Entrance Cable, Meter Box, alterations to ~-eceptacles mid li~ting fixtures due to siding / so~t [nstallalion. Note: New Service ,Entrance Cablos will require a sep~ate ~rmit. Keconnection or ~ew circuit for other pe~ancntly wired appliances / fixtures. Other ']'he valise of tills work is $ Y I hereby verify this work will be performed by me and farther verify the xcconnection / installation xvill be donu i~ eompliane~ wi~h manufacturer :md Elt:etrk; eocle requirements. MAY-f2-O3 MON 2:13 PM WRIGHTWAY INC, FAX NO. 920 929 8999 P. 4 Instructio~i~;' RenovatOr must either obtain $i§natw''e of occupant or self.~:ertify that pamphlet was delivered =nd an was unavailable or ~fused to sign ack~'~iedgement' or that renovator mailed Ihe pamphlel to t~ ~ I .......... rnovat~d'w°~k ~gan. ~upanl at least 7 [seven) ~ays oe~or~ ~ ' TION ~CCUPseT ACKNOWLEDGE~~EMENT I~ave received a copy of ~e pamphlet, Protect Your Family from Lead Jn Your home, infor~ng me or t~e ~tenfial risk of ~ad hazard ~xposure in my dwelling unit. I received this pamphlet before ~e work began. OPTION 2- RENOVATOR'S CERTIFICATION OF DELIVERY I certify that I have made a good faith effort to deliver the pamphiot, Protect Your Family From Lead in the Home. to the unit listed below at the dates and times indicated, and that the occupant refused to sign acknowledgement 0r was unavailable to sign the acknowledgement. I further certify that I lelt a copy of the pamphlet at the unit by sliding it under the door or by other means indicated below. Name o! renovator or designated representative who delivered pamphlet: Address of the unit undergoing renovation: ~ Date(s), Time(s), and Method of attempted delivery: Date, Time. and Me'thod of Actual Delivery: Reason for lack of Acknowledgement by Occupant: (check one}: C} Occupant Unavailable 1~ Occupant Refused to Sign Signature Of Renovator or Designated Representative: ~ Date of Signature: .__..---- - OPTION 3 - :SELF CERTIFICATION OF MAILING ! herebY certify that I mailed a copy of the pamphlet. Protect YourFamiIy from Lead in Your Home, to the unit listed below at least 7 days prior to the start of the renovation of the unit. I have attached a certi~cate of mailing (or other proof o! mailing such as registered mail receipt or certified mail receipt) to this form. Signature o Renovator;. Date of Signature: .___ Address of unit Undergoing Renovation: