HomeMy WebLinkAbout2003-Building (siding)OSHKOSH
ON THE WATER
.lob .Address 653 W 4TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner JEFFREY J R NOZAR/LISA K ELSINGE
Contractor OWNER
Category 141 - Exterior Remodeling
No 0101603
Create Date 05/19/2003
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 existing siding on house with vinyl. Install new gutters & downspouts.* Homeowner EIV form attached. NO STRUCTURAL
of Work WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$6,000.00 Plan Approval $0.00 Permit Fee Paid
$45.00 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
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
OSHKOSH
ON THE WATER
Job Address 653 W 4TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner JEFFREY J R NOZAR/LISA K ELSINGE
Contractor OWNER
Category 141 - Exterior Remodeling
Type O Building ~) Sign O Canopy O Fence O Raze
No 0101603
Create Date 05/19/2003
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 ~1~ 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
Size
[] Projection
Canopies
Signs
Use/Nature SFR/Replace existing siding on house with vinyl. Install new gutters & downspouts.* Homeowner EIV form attached. NO STRUCTURAL
of Work ~/ORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~'/
Plumbing Contractor
$6.000.00 Plan Approval $0.00 Permit Fee Paid
$45.00 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 ~-~t'-w.,~ ~-~ Date
Agent/Owner
Address Oshkosh WI 54901 - 0000 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 T~l{~ 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
If you are a contractor participating in the Permit fee ~Iccount System and have adequate funds, check here
if you want this processed through your account ~]
JOB ADDRESS ~o 5~ ~,, q ~/~, ~/'e.
I am the: ~Omer OR ~ Con.actor
USE CATEGORY
~xSingle Family
Work being done:
ROOFING
[] Duplex [] Multi-Family [] Rental
[] Tear offand replace existing roofing on [] house, [] garage
[] Replace wood decking
[] Add 1 layer &roofing to the existing
This work is being done due to [] Hail Damage [] Other
SIDING
[] Install siding on t~house, []
garage
[] Replacing vinyl with vinyl
[] Replacing steel or aluminum with vinyl (circle steel or aluminum)
[] Replacing S~C_aCo ~ bv'c, oc~ with (../~'4~//~
This work is being done due to [] Hail Damage El Other
When siding is done, one of the boxes below must be checked:
Commercial [] Industrial
layer(s) on [] house, [] garage
I) [] Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
(Name of L~censed Electric Contractor)
AND~tectric Installation Verification f~rm is attached OR_ D Sel~arate Elect Permit wffi be requested.
2) [] Electric - Not Applicable because: ~ J Blocks previously installed. [] No outside lights. [] Other
~l~Install new or [] Replace gutters
nstallnew [] Replace downspouts
or
Other related work being done: (please note)
Value of the job $ (include fair market price for labor even if you are not paying for labor)
03/02
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box I 130
Oshkosh WI 54903-1130
O/HKO/H
ON THE WATER Fax 920-236-5084
Electric Installation Verification,
the homeowner(s) of ~o S ~
(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. I~ork on a condominium,
duplex, rental, or multi-use building would require a licensed master
electrician.
Other
The value of this work is $'-7-5'. 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.
U \k ~or~e(~vner(s)~ignature
(Date)
5~02