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Home My WebLink About0104565 BOSHKOSH ON THE WATER .lob Address 1775 LOMBARD AVE Designer CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner SANDRA LEA SHERMAN Contractor OWNER Category 141 - Exterior Remodeling No 104565 Create Date 10/03/2003 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, due to old age. Replace front door, back door, and NE-corner bedroom of Work ~vindow (same size & location). *NO STRUCTURAL WORK. Homeowner EIV form attached. HVAC Contractor Electric Contractor Fees: Valuation Issued By: Plumbing Contractor $2,000.00 Plan Approval $0.00 Permit Fee Paid $25.00 Park Dedication $0.00 Date 10/03/2003 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. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 1775 LOMBARD AVE OSHKOSH WI 54902 - 4113 Telephone Number 233-2793 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 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 Account System and have adequate funds, check here if you want this processed through your account N JoB ADDm SS ownER cONT CTOR I am the: OR [] Contractor ~iE CATEGORY ngl¢ Family [] Duplex [] Multi-Family [] Rental [] Commercial [] Industrial Work being done: ROOFING [] Tear off and replace existing roofing on [] house, [] garage [] Replace wood decking [] Add I layer of roofing to the existing This work is being done due to [] Hail Damage [] Other SIDING ~__nstall siding on ~ouse, []garage [] Replacing vinyl with vinyl layer(s) on [] house, [] garage [] Replacing steel or aluminum with vinyl (circle steel or aluminum) j~l, Replacing C~,.) 6,, ~_ with ( J { ~ c// This work :s being done Sue to [] Hail Damage ~g~Other When s~ding is done, one of the boxes below must b'6 checked: 1) ~Electfic - Existing Etectric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being per formed (Name of Licensed E~c~c Contractor) - AND ~q~lectxic Installation Verification form is attached OR_ 2 Sel~arate Elect Permit will be requested. 2) [] Electric - Not Applicable because: ~ J Blocks previously installed. D No outside lights. El Other [] Install new or [] Replace gutters [] Install new or [] Replace downspouts Other related work being done: (please note) Value of the jOb $ ,~,Q~)~ (include fair market price for labor even if you are not paying for labor) 03/02 O/HKOJ'H City o f Osltkosh Division o f Iraspection Services 215 Church Avenue POBox 1130 Osl-,kosh WI 54903-1130 Office 920-236-5050 Fax 920~236-5084 I (We) the homeowner(s) of Electric Installation Verification (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) Recormection or new mrcuit for replacement Heating Plant and/or A/C Condenser. Reconnection or ne~v circuit for replacement Electric Water Heater or power vented water heater. AReconnection o f 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 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. Work on a condominium, duplex, rental, or multi-use building would require a licensed master electrician. Other The value of this work is $ 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. ~~om e~~ (D ate) 5/02