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0102010-Building (roof/siding)
OSHKOSH ON THE WATER ,Job Address Designer Category CITY OF OSHKOSH No 0'102010 BUILDING PERMIT - APPLICATION AND RECORD Owner MICHAEL M MORSE/VICKiE DUTTON Create Date 06/06/2003 Contractor OWNER Plan 1515 CANDLELIGHT CT 141 - Exterior Remodeling Type · Building _O Sign Zoning Unfinished/Basement 0 Sq. Ft. Finished/Living 0 Sq. Ft. Garage 0 Sq. Ft. Foundation · Poured Concrete (~ FlcetJng Slab O Concrete Block O Post Occupancy Permit Not Required Park Dedication Use/Nature of Work Canopy {~ Fence O Raze Class of Const: Size Rooms 0 Height 0 Ft. [] Projection Bedrooms 0 Stories Canopies Baths 0 Signs O Pier O Treated Wood Flood Plain # Dwelling Units O Other Height Permit 0 # Structures 0 SFPJ Tear offand replace existing roofing on the house and attached garage, due to hail damage. Replacing existing Vinyl siding with new vinyl siding on the house & garage, due to extreme fading & hail damage. *NO STRCUTURAL WORK. Homeowner EIV form. Dennis Gorgas is the contractor. 0 0 HVAC Contractor Electric Contractor Fees: Valuation Issued By: ¢~V~ Plumbing Contractor $10,000.00 Plan Approval $0.00 Permit Fee Paid [] Permit Voided $65.00 Park Dedication $0.00 Date 06/06/2003 Final/O.P. 00/00/0000 In the performance of this work I agree to Rerforrccall work pursuant to rules governing the described construction. Address 151~OANDLELIGHTCT OSHKOSH WI 54904 - 7304 Telephone Number Q City of Oshkosh Division of Inspection Services 215 Church Avenue POBox 1130 Oshkosh WI 54903-1130 ©/HKO_ H Electric Installation Verification (print homeowner(s) name) the homeowner(s) of /...,d~/~.,d-c~/j M 6M~/ ~/~ / q ~. ¢ C /~ (address'where work is to be perfomed) accept the respo~ibility for perfo~ing ~e electfic~ work as stated below for ~e propeay 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 occut~ied home. Work on a condominium, duplex, rental, or multi-use building would require a licensed master electrician. __ Other The value of this work is $ ! hereby verify this work will be performed by me and further verify the reconnection / ~nstallation will be done in compliance with manufacturer and Electric code requirements. / ) Hohaeo~(~/r( ))~lgnature C (Date) 5/02 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-I 130 Phone: (920) 236-5050 Fax: (920) 236-5084 Roofing & Siding Permit Application O/HKO/H · Applicdtion(s) and fee(s) can be brought t0 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 Account System and have adequate funds, check here if you want this processed throu~ih your account ~ CONT~CTOR ~C- iV IV( $ I am the: ~mer OR ~ Con.actor USE CATEGORY ~J-Single Family [] Duplex [] Multi-Family [] Rental [] Commercial []Industrial Work being done: ROOFING [~ear off and replace existing roofing on g~-house,.l~a~ge' [] Replace wood decking [] Add 1 layer of roofing to the existing This work is being done due to {~I-Iail Damage [] Other SIDING Ii. Install siding on l~house, [~garage l~-Replacing vinyl with vinyl [] Replacing steel or aluminum with vinyl (cimle steel or aluminum) [] Replacing with layer(s) on [] house, [] garage This work is being done due to ~k'Hail Damage ~lLOther ~-~'~ 7"/~e II,'/~ When siding is done, one of the boxes below must be checked: 1 ) ~ Electhc- Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed ~Na~n~ o f Licensed E~Wi¢ Contractor) AND E Electric Installation Verification f~rm is attached OR. E SeI~arate Elect Permit wffi be requested. 2) [] Electric - Not Applicable because: D J Blocks previously installed. D No outside lights. E3 Other [] Install new or [] Replace gutters [] Install new or [] Replace downspouts Other related work being done: (please note) Value of the job $ /,~/ O ~ O · e* O (include fair market price for labor even if you are not paying for labor) 03/02