HomeMy WebLinkAbout0101604-Building (siding)OSHKOSH
ON THE WATER
Job Address 948 COZY LN
Designer
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner CYNTHIA R PUHL
Contractor OWNER
Category 141 - Exterior Remodeling
Type · Building (~ Sign C) Canopy O Fence O Raze
No 0101604
Create Date 05/19/2003
Plan
Zoning
Unfinished/Basement 0 Sq. Ft.
Finished/Living 0 Sq. Ft.
Garage 0 Sq. Ft.
Foundation · Poured Concrete (~ Floating Slab
(~ Concrete Block O Post
Occupancy Permit Not Required
Park Dedication
Use/Nature
of Work
Class of Const:
Rooms 0 Height
Bedrooms 0 Stories
Baths 0
C) Pier O Other
(~ Treated Wood
Flood Plain
# Dwelling Units 0
0 Ft.
Size
[] Projection J
Canopies 0
Signs 0
Height Permit
# Structures
SFR/Replacing existing wood siding with new steel siding, on the house and attached garage, due to old age. Replacing gutters and
downspouts, if necessary. *NO STRUCTURAL WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: 1~/~
Plumbing Contractor
$3,000,00 Plan Approval $0.00 Permit Fee Paid
$30.00 Park Dedication $0.00
Date 05/19/2003 Final/O.P. 00/00/0000
[] Permit Voided
In the perfor~anc~Aof this work I agree to perform all work pursuant to rules governing the described construction.
Signature~ (~~ ~ Date
Agent/Owner
Address 94'8 COZY LN OSHKOSH WI 54901 - 1403 Telephone Number
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~= 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
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 [']
6o -,r Oskx,
OWNER ~
CONTRACTOR
I am the:
USE CATEGORY
"~'figle Family
t~wner OR [] Contractor
[] 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
~l~stall siding on ~ouse, ~?arage
[] Replacing vinyl with vinyl
layer(s) on [] house, [] garage
[] Replacing steel or aluminum with vinyl (circle steel or aluminum)
~::R-'~placing .~x ,~ ~:~c:~ with This work is being done due to [] Hail Damage }Or.her '
When siding is done, one of the boxes below must be checked:
1) [] Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications arc being performed
by
(Name of Licensed Electric Contractor)
AND ~ Electric Installation Verification f~rm is attached OR [] Set3arate Elect Permit wffi be requested.
2) [] Electric - Not Applicable because: D 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 $ 3:C)00
(include fair market price for labor even if you are not paying for labor)
03/02
Q City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
O/HKO/H Office 920-236-5050
ON IHE WATER Fax 920-236-5084
Electric Installation Verification
(print homeowner(s) name)
the homeowner(s) of q(~ ~-,-0Z~ ~x~J
(addregs 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)
Recormection 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 $
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.
U HomeoWner(s) Signature (Date)
5/02