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HomeMy WebLinkAbout0102518 BOSHKOSH ON THE WATER JobAddress 612 N LARKST Designer CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner MICHAELA READY Contractor OWNER Category 141 - Exterior Remodeling No 0102518 Create Date 06/30/2003 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 masonite siding with new vinyl siding on the house and detached garage, due to old age. Install new gutters and of Work downspouts. *NO STRUCTURAL WORK. EIV Form signed by homeowner. HVAC Contractor Electric Contractor Fees: Valuation Issued By: Plumbing Contractor $3,000.00 Plan Approval $0.00 Permit Fee Paid $30.00 Park Dedication $0.00 Date 06/30/2003 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 612 N LARKST WI 54902 - 3342 Telephone Number OSHKOSH ON THE WATER Job Address 612 N LARK ST Designer Category 141 - Exterior Remodeling Type · Building Zoning Unfinished/Basement Finished/Living Garage Foundation CITY OF OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD Owner MICHAEL A READY Contractor OWNER O Sign (~Canopy O Fence (~) Raze Use/Nature of Work No 0102518 Create Date 06/30/2003 Plan Class of Const: Size 0 Sq. Ft. Rooms 0 Height 0 Ft. [] Projection 0 Sq. Ft. Bedrooms 0 Stories __ Canopies 0 Sq. Ft. Baths 0 Signs · Poured Concrete (~) Floating Slab (~) Pier O Other O Concrete Block O Post (~) Treated Wood Occupancy Permit Not Required Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 SFPJ Replacing existing wood masonite siding with new vinyl siding on the house and detached garage, due to old age. install new Jtters and downspouts. *NO STRUCTURAL WORK. ElY Form signed by homeowner. H~AC Contractor Electric Contractor Fees: Valuation Issued By: ~x Plumbing Contractor $3,000.00 Plan Approval $0.00 Permit Fee Paid [] Permit Voided~ $30.00 Park Dedication $0.00 Date 06/30/2003 Final/O.P. 00/00/0000 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date f Agent/Owner Address 612 N LARK ST OSHKOSH WI 54902 - 3342 Telephone Number 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/HKQ/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 funds, check here if you want this processed through your account N OWNER CONTUACTOR I am the: ~Owner 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 FI Add I layer of roofing to the existing This work is being done due to [] Hail Damage [] Other SIDING // f~rInstall siding on /~i'ouse, ~g~'~ge [] Replacing vinyl with viny! layer(s) on [] house, [] garage [] Replacing steel or aluminun1 with vinyl (circle steel or aluminum) , /9 x[~ Replacing ~ ~_t~t~ ~'~(~/~ with V/~ Gl/~/ /I'his work is being done due to [] Hail Damage ~Other ~_//ff~/~ [~,.~/~ Wh~ siding is done, one of the boxes below must be check'ed: 1) /by~y Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications am being performed (Name ofLiceracd ~F~'c Contractor) AN~(~K~cla'ic Installation Verification f~rm is attached O~R E Sel~arate Elect Permit w~ be requested. 2) [] Electric - Not Applicable because: [] J Blocks previously installed. [2 No outside lights. [] Other J~nstall new or [] Replace gutters I~lnstall new or [] Replace downspouts Other related work being done: (please note) Value of the jOb $ (include fair market price for labor even if you are not paying for labor) 03/02 City of Oshkosh D/vision of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903-1130 Office 920-236-5050 Fax 920-236-5084 (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 circuit for replacement Heating Plant and/or A/C Condenser. Recormection or new circuit for replacement Electric Water Heater or power vented water heater. Recormection 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 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 $. / U~ 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)/~ignature (Date) 5102