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HomeMy WebLinkAbout0102428-Building (reside garage)OSHKOSH OH THE WATER Job Address 813 W NEW YORK AVE Designer Category 141 - Extedor Remodeling Type · Building Zoning Unfinished/Basement Finished/Living Garage Foundation Occupancy Permit Park Dedication CITY OF OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD Owner JOHN P PIENClKOWSKI Contractor OWNER Sign O Canopy O Fence (~) Raze Class of Const: 0 Sq. Ft. Rooms 0 Height 0 Sq. Ft. Bedrooms 0 Stories 0 Sq. Ft. Baths 0 · Poured Concrete (~ Floating Slab C) Pier (~) Other (~ Concrete Block {~) Post (~ Treated Wood Not Required Flood Plain # Dwelling Units 0 No 0102428 Create Date 06/25/2003 Plan 0 Ft. Size [] Projection[ Canopies 0 Signs 0 Height Permit # Structures SFPJ Replacing existing wood siding with new vnyl siding on the garage, due to old age. *NO STRUCTURAL WORK. EIV form from Homeowner. Use/Nature of Work HVAC Contractor Electric Contractor Fees: Valuation Issued By: $1,000.0~ Plan Approval Plumbing Contractor $0.00 Peri. it Fee Paid [] Permit Voided $20.00 Park Dedication $0.00 Date 06/25/2003 Final/O.P. 00/00/0000 In the performance/of th/is work I a~e to perform all wor~pursuant to rules ~leverning the described construction. Sig nat P r ~/~<2'--~//¢¢ / ~-~--~'~--/~_ ~_ ~-¢"¢-~,/~--~~ Date ,~' ' · - - Agent/Owner Addres~ 813 W NEW YORKAVE OSHKOSH WI 54901 - 3639 Telephone Number City of Oshkosh Division of I~spcctlon Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903-1130 Office 920-236-5050 Fax 920-236-5084 I (We) Electric Installation Verification the homeowner(s) of (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 off (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. __ Recormection or new circuit for the replacement o f other permancmtly wired appliances / fixtures. __ New circuit for the addition of A/C to an individual dwelling unit, includJng required service electrical outlets. Note: Homeowners can only do their own electric on a single family owner occupied home. Work on a condominium, duplex, rental, or multi-use building wouM require a licensed master electrician. Other The value of this work is $ /f ~ 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. ~~ Homeowner(s) Signature (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 · 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 ,4ccount System and have adequate £unds, check here if you want this processed through your account ~] COmmACTOR I am the: E~wner OR [] Contractor USE CATEGORY ~l"Single Family [] Duplex [] Multi-Family [] Rental [] Commercial []Industrial Work being done: ROOFING [] Tear offand replace existing roofing on [] house, [] garage [] Replace wood decking [] Add 1 layer of roofing to the existing This work is being done due to [] Hail Damage [] Other Sm~n,DING stall siding on [] house, ,~garage [] Replacing vinyl with vinyl layer(s) on [] house, [] garage [] Replacing steel or aluminum with yinyl (circle steel or aluminum) This wo'"-~k is being done due to [] Hail Damage ~:I~ Other ~'2~/' e~d ..~,..~t5 When siding is done, one of the boxes below must be check : 1) ~lecffic - ~jisting Elecffic Meter, receptacle, lighting ~d Elec~c Se~ice enhance alt~tionffmodifications are being p~o~ed ~a~ of Li~d Ele~ Con~etor) AN~E~cffic Installation Verification ~m is anached O~ ~ Se~mte Elect Pemit wffi be requested. 2) D Elecffic - Not Applicable because: ~ J Blocks previously installS. E No outside lights. E ~her [] Install new or [] Replace gutters [] Install new or [] Replace downspouts Other related work being done: (please note) Value of the job $ /~r' ~ (ineludefairmarketpriceforlaborevenifyouarenotpayingforlabor) 03/02