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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