HomeMy WebLinkAbout0101570-Building (siding) SHKOSH
ON THE WATER
Job Address
Designer
Category
Type
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
1931 CRANE ST
141 - Exterior Remodeling
~l._.Building .. (~. S!gn ....
Owner HANS E/TIFFANY DORST
Contractor OWNER
No 0101570
Create Date 05/19/2003
Plan
Canopy ......... (~)__ Fenc~e ........... _(~ ._ .~a..z? .............
Zoning
Unfinished/Basement
Finished/Living
Garage
Foundation
Occupancy Permit
Park Dedication
Class of Const:
0 Sq. Ft. Rooms 0
..... ~ Sq. Ft. Bedrooms 0
0 Sq. Ft. Baths 0
O Poured Concrete (~ Floating Slab (~ Pier
(~) Concrete Block (~ Post (~) Treated Wood
Not Requ_ired Flood Plain __
# Dwelling Units
Use/Nature
Height
Stories
Other
0 Ft.
Size
[] Projection j
Canopies
Signs
Height Permit
0 # Structures
SF~place existing cedar shake siding with vinyl.* Homeowner ElY form attached. NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
Plumbing Contractor
$4,750.00 Plan Approval $0.00 Permit Fee Paid
$40.00 Park Dedication $0.00
Date 05/19/2003 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
¢£:..__~ ..... F.,,--- Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
ity 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
Itc you are a contractor participating in the Permit fee Account System and have adequate funds, check here
itc¥ou want this processed through your account [~
JOB ADDRESS
CONTRACTOR
I am the: ~OWner OR [] Contractor
USE CATEGORY
Single Family [] Duplex
[] Multi-Family [] Rental
[] Commercial
[] Industrial
Work being done:
ROOFING
[] Tear offand replace existing roofing on [] house, [] garage
[] Replace wood decking
[] Add 1 layer of roofing to the existing
This work is being done due to [] Hail Damage [] Other
SIDING
[] Install siding on ~ house, J~garage
[] Replacing vinyl with vinyl
[] R _ep~lacing steel or aluminum with vinyl (circle steel or aluminum) /
!
This work is being done due to [] Hail Damage [] Other
When siding is done, one of the boxes below must be checked:
layer(s) on [] house, [] garage
1) 'l~E~ctric - Existil!g,. Etecttic4Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
(Name of Licensed Electric Contractor)
AND 2 Electric Installation Verification f~rm is attached OR [] Set~arate Elect Permit wffl 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 $ V 7 ~'O. O o (include fair market price for labor even if you are not paying for labor) 03/02
/HKO/H
ON THE WATER
City of Oshkosh
Division oflnspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
I (We) -¢---/~ rl,,q
/ --
the homeowner(s) of
Electric Installation VerifiCation
(print homeowfier(s) name) /
/¢,S1
(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 $ ~ 0~-0. oo
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.
mecei'
(Date)
5/02