HomeMy WebLinkAbout0086329-Building (siding) �
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CITY OF OSHKOSH No oosss2s
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 214 W MELVIN AVE Owner MARK W&WENDY WIEGMAN Create Date 05/24/2001
- Designer Contractor OWNER
: Category 141 -Exterior Remodeling Plan
Type � Building � Sign 0 Canopy � Fence 0 Raze �
Zoning 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 � Floating Slab 0 Pier � Other
0 Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature FR/Replace wood siding on house with vinyl. Install new gutters.*Homeowner EIV form attached.
of Work
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,500.00 Plan Approval $0.00 Permit Fee Paid $50.00 Park Dedication $0.00
Issued By: ,/�-�— Date 05/24/2001 Final/O.P.
� Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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Signature �� `� W + Date Jr! o�� D t
Agent/Owner
Address 214 W MELVIN AVE OSHKOSH WI 54901 - 3719 Telephone Number
Check all applicable boxes and fill out as much information as possible. Thank you.
1 Address of Property d �� C� �C�(Vi n ht�C
2 The Property is owned by �Gc�rr` �1�, c m�.✓1
3 I am the�Owner OR I am the ❑ Contractor
4 The contractor doing the work is }�a�^'� O�-i% �`�-�' .
5 This is a �Single Family Residence, ❑ Rental, ❑ Commercial
6 Work being done:
ROOFING
❑ Tear off and replace existing roofing on ❑ house, ❑ garage
❑ 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 or aluminum (circle one) with vinyl
,
O Replacing 1I�t�t�c�� with ?
This work is being done due to ❑ Hail Damage ❑ Other
When siding is done, one of the boxes below must be checked:
❑ Electric— Electric Meter, receptacle, lighting and Electric Service entrance
alterations/modifications are being performed by ,�1C � ,�,.0
Electric Installation Verification form is attached ameo icense eoc��� ontractor
❑ Electric— not applicable .
�Install new or ❑ Replace gutters
❑ Install new or ❑ Replace downspouts
O Other work being done: (please note)
Value of the job $ ��C�C� � (include fair market price for labor even if you are
not paying for labor)
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� City of Oshkosh
� Division of Inspection Services
215 Church Avenue
PO Box 1130
�/ Oshkosh WI 54903-1130
�I�OIH Office 920-236-5050
ON THE WATER Fax 920-236-5084
Electric Installation Verification
I (We) tY 'Qf'� vV ` —"°rv�G,
(p ' t homeowner(s)name)
the homeowner(s) of ��� � ��V'+�1 �-ttl�
(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 o£ (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.
� 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 far other permanently wired appliances/fixtures.
Other
The value of this work is $ ;lUJ
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.
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Home ner(s) Signature (Date)