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Home My WebLink About0101675 BOSHKOSH ON THE WATER .lob.Address 122 W 23RD AVE Designer CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner ERIC W/JESSICA KUBALEK Contractor OWNER Category 141 - Exterior Remodeling No 0101675 Create Date 05/21/2003 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/Replacing existing wood siding with new vinyl siding on the house and detached garage, due to old age. Replace gutters and downspouts. of Work Installing insulation under siding. *NO STRUCTURAL WORK. Homeowner EIV form. HVAC Contractor Electric Contractor Fees: Valuation Issued By: Plumbing Contractor $10,000.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00 Date 05/21/2003 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 122 W 23RD AVE WI 54902 - 7037 Telephone Number OSHKOSH ON THE WATER Job Address Designer Category Type 122 W 23RD AVE 141 - Exterior Remodeling CITY OF OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD Owner ERICW/JESSICA KUBALEK Contractor OWNER Building O Sign O Canopy O Fence O Raze No 0101675 Create Date 05/21/2003 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 O Poured Concrete (~ Floating Slab O Pier O Other O 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/Replacing existing wood siding with new vinyl siding on the house and detached garage, due to old age. Replace gutters and of Work downspouts. Installing insulation under siding. *NO STRUCTURAL WORK. Homeowner EIV form. HVAC Contractor Electric Contractor Fees: Valuation Issued By: ?~'.~tlff~ Plumbing Contractor $10,000.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00 Date 05/21/2003 Final/O.P. 00/00/0000 [] Permit Voided In the perfom)ance of this work I agree to perform all work pursuant to rules governing the described construction. Signature ~,,\! ,,-~ Z)~L~_.~L. ~'~ ~~/---, Date ~_~'//~ I/~) ,':~ ~' !/ - ' Agent/Owner - Address 122W 23RD AVE OSHKOSH WI 54902 - 7037 Telephone Number OZHKO/H ON THE WATER City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh Wl 54903-1130 Office 920-236-5050 Fax 920-236-5084 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 would require a licensed master electrician. Other The value of this work is $ ,~tgO. err> 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. Homeowner(s) Signature (Date) 5/02 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 TH~ WAT~' · 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 I£vou are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account [~ JOB ADDRESS / CONTRACTOR I am the: ~1' Owner OR S~E CATEGORY ingle Family [] Contractor [] Duplex [] Multi-Family [] Rental [] Commercial [] Industrial Work being done: ROOFING [] Tear offand replace existing roofing on [] house, [] garage [] Replace wood decking [] Add I layer of roofing to the existing This work is being done due to [] Hail Damage [] Other SIDING ~t~fnstal, siding on .~l~ouse, )~l/g a~ [] Replacing vinyl with vinyl layer(s) on [] house, [] garage [] Replacing steel or aluminum with vinyl (circle steel or aluminum) This work is being done due to FI Hail Damage MOther l~. l/ .i~q. &{Ct~C~_n~..s3('~ ~F~"r-~F)(4f~tD~ Whe~ siding is done, one of the boxes below must be checked: 1) ~lec~c - Existing Elecffi~ ~eter, receptacle, lighting ~d Elec~ic S~ice en~ce alterations/modifications ~ being peffomed ~a~ of Licemed Elecffic Con~ctor) AND ~ecffic Installation Vehfication ~m is auached OR ~ Se~ate Elect Pemit wffi be requested. 2) '~ Ele~c - Not Applicable because: D J Blocks previously installed. E No outside lights. ~ ~her ~ Inst~l new or ~Replace guuers ~ Inst~l new or ~ Replace domspouts Other related work being done: ~lease note) ,/~5~J~o (~D~, ~/~.' Value of the job $ //3 , t~_/')_t'~) (include fair market price for labor even if you are not paying for labor) 03/02