HomeMy WebLinkAbout0102353-Building (siding)OSHKOSH
ON THE WATER
.lob .Address 1616 HICKORY ST
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner CARLTON M/SHARO USELMAN TRUST
Contractor LETT SIDING & TRIM
Category 141 - Exterior Remodeling
No 0102353
Create Date 06/20/2003
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/Replacing existing wood siding with new vinyl siding on the house and garage. Replace gutters and downspouts. *NO STRUCTURAL
of Work WORK. EIV form from Hoehne Electric.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$5,300.00 Plan Approval $0.00 Permit Fee Paid
$45.00 Park Dedication $0.00
Date 06/20/2003 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
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
OJ'HKO/H
· 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate fundL check here
if vou'want this processed through your account .~
JOB ADDRESS
OWNER
CONTRACTOR
I am the:
USE CATEGORY
~ingle Family
Work being done:
[] Owner OR '~c~Contractor
[] Duplex [] Multi-Family [] Rental
ROOFING
[] Tear offand replace existing roofing on [] house, [] garage
[] Replace wood decking
[]Add I layer of roofing to the existing
This work is b~ing done due to [] Hail Damage [] Other
SIDING
~[nstall siding on .~IChouse, ~'garage
[] Replacing vinyl with vinyl
[] Replacing steel or aluminum v~th vinyl (circle steel or aluminum)
~-~Replacing ~Y°X~~ with ~ ~)'~ ~'~ I
This work is b~ing done due to [] Hail Damage ~Other
Wheii siding is done, one of the boxes below must be checked:
l)
laycr(s)'on [] house, [] garage
[] Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
(Nam~ of Licensed El~Ix~ Contractor)
AND~c'Electrie Installation Verification f~rm is attached OR In Sel~arate Elect Permit roll be requested.
2) [] Electric- Not Applicable because: [] J Blocks previously installed. [] No outside lights.' [3 Other
[] Install new or ~Replace gutters
[] Install new or I~Replace downspouts
Other related work being done: (please note)
Valueofthejob$ ~.~-~30~ ,. ~['h (includefairmarketpriceforlaborevenifyouarenotpayingforlabor) 03/02
O/NKQ/H
City of Oshkosh
Div/$ion of Impection Sen, ices
215 Church Awnue
PO Box I ! 30
Oshkosh WI 5490~-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
(print homeowner(s) name)
the homeowner(s) of !\o \~, ~ \£.~P~ ~.
(address where w'~rk 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 off (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or AdC Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
-,~ Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and hght~ng fiXt~[~ ~u~ to s~d~ng / soffit installation Note New Service
· En'!;~C~.Cab[~!f!~fi{re a§eparate permit. ~"'
Reconhefition'6r n~'fiii:~Uit for other wired applianc~ / fiiiur~s.
The value of this work is $ ~tD¢) .q~
I hereby verify this work will be performed by me and further verify the reconnection /
installation will be done in complianCl;~with manufacturer and Electric code requirements.
Homeowner(s) Signature