HomeMy WebLinkAbout0101789-Building (siding)OSHKOSH
ON THE WATER
.lob ,Address 1710 W 5TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner DORIS J BECKLER
Contractor LETT SIDING & TRIM
Category 141 - Exterior Remodeling
No 0101789
Create Date 05/28/2003
Plan
Type [(~ Building (~ Sign (~ Canopy (~ Fence ~ Raze
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. ~ 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 sidign on the house and garage. *NO STRUCTURAL WORK. Homeowner EIV form.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$6,200.00 Plan Approval $0.00 Permit Fee Paid
$50.00 Park Dedication $0.00
Date 05/28/2003 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 5737 CLEVEDON LN WI 54904 - 0000 Telephone Number (920) 233-4144
Cit~of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236:5050
Fax: (920) 236-5084
· 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 5;100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a Contractor participating in the Permit lee Account System and have adequate £und~, check here
if Vou'want this processed through your accouni"'~
I am the: [] Owner OR j~[.Contractor
USE CATEGORY
]~/[Single Family [] Duplex
Work being done:.
ROOFING
[] Multi-Family I-I Rental
[] Commercial
[] Industrial
~I Tear off and. replace existing roofing on [] house, [] garage
[] Replace Wood decking . . ' .... ' ' ": -
This work'is b~ing done due to [] Hail Damage [] other
SIDING
~ia~Install siding'on ~house,. )~. garage .
[] Replacing vinyl with vinyl
[] Replacing steel or' aluminum With Vifiyl (circle steel or aluminum)
[] RePlacing. ':' "'i5{ ~"~ff")d' ' with
This work is b~'ifig done due to [] Hail Damage' C! Othei
layer(s) on [] house, []garage
When siding is done, one of the boxes below must be checked:
1) 'l~Elec~tric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being Perf°rmed
by ~(~("~ Pf]o 0/~ O'~L '- -: ' '" ' .
(Name of Licensed Electric Conlractor) ' ' - ' '
AND~gl~Electric Installation Verification f~rm is attached OR [] Sel~arate Elect Permit w~ be requested.
2) [] Electric - Not Applicable because: [] J Blocks previously installed. [3 No Outside lights.' [] Other ' '
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related Work being done: (please note)
Value of the j~b $ .""":" "' - (include fair market price for labor even it'you are not paying for labor)
03/02
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
OfH~OdH Office 920-236-5050
ON m~ W^~e. Fax 920-236-5084
accept
above.
.:~
The nati~re oF ~i~e WOrk consists Of:
or new circui
:: ~'",!c!!5~:: !';; R~conn~cti0n or new clrcUl
>onslbllity for perfo~ng the elec~cal wOt ~ stated below for the proPe~y list~d
the Nature of Work)
A/C Condenser.
grater Heater.
'Met~i-'B0x 'alterations to receptacles -:'~ ,~i !~ i.':: :~ :-', ;!
'~.'Notei'~' Ne~ s~i-~i~" ":"
new c~r~ ntlV Wired apt
The'~
I
ifi§fhl
7
this work will be performedby me verify the reconnection /
ri'will be done in compliance With ~anuf~i~i~rer':~afid Ei~Ctric code requirements.
Signature
(Date)