HomeMy WebLinkAbout0103271-Building (siding)OSHKOSH
ON THE WATER
Job Address 1017 NEBRASKA ST
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner CLAIR L HASSELL
Contractor OWNER
No 103271
Create Date 08/04/2003
Category 141 - Exterior Remodeling Plan
Type · Building (~) Sign (~ Canopy (~ Fence (~_ Raze
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft.
Finished/Living 0 Sq. Ft.
Garage 0 Sq. Ft.
Foundation · Poured Concrete (~ Floating Slab
(~) Concrete Block (~) Post
Occupancy Permit
Park Dedication
Rooms 0 Height 0 Ft. [] Projection
Bedrooms 0 Stories Canopies
Baths 0 Signs
(~ Pier (~ Other
(~) Treated Wood
Flood Plain Height Permit
# Dwelling Units 0 # Structures 0
Use/Nature SFR/ Residing the house. NO structural work. A seperate permit will be obatined for updating the electric as well as any electdc on the
of Work ~)utside of the house.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
$4,500.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided I
Plumbing Contractor
$40.00 Park Dedication $0.00
Date 08/04/2003 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 ~_~/~ ~ /~/Z. ~'!,~'~/~4~/~_ N.O ~<5~:1/'/ Date
Agent/Owner
Address 360 9TH ST MENASHA WI ~952 - 2293 Telephone Number
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
P O Box 1130
Oshkosh, WI 54903-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
O/HKO/H
ON THE WATER
· Applica'tion(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
]f ~,ou are a eontraetor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account N
JOB ADDRESS ~e~/7
OWneR C/,9 AeC'
CONTRACTOR
I am the: [] Owner OR [] Contractor
USE CATEGORY
[] Single Family ~Duplex
[] Multi-Family [] Rental [] Commercial [] Industrial
Work being done:
ROOFING
[] Tear oft'and 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
SIDING
I~.Install siding on ~_house, ~garage
[] Replacing vinyl with vinyl
r~ Replacing steel or aluminum with vinyl (circle steel or aluminum)
[]Replacing with
This work is being done due to [] Hail Damage [] Other
layer(s) on [] house, [] gamge
When siding is done, one of the boxes below must be checked:
1) -~]-Electric - Existing Electric M~er, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
(Name of Liccm~d Electric Contractor)
AND ~ Electric Installation Verification f~rm is attached OR rate Elect Permit wffi be requested.
2) [] Electric - Not Applicable because: ~ J Blocks previously installed. [] No outside lights. [2 Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note)
Value of the job $ ~-7/O""OF'9 '"~ (include fair marketptice forlaborevanifyouarenot paying forlabor) 03/02