HomeMy WebLinkAbout0104602-Building (siding)OSHKOSH
ON THE WATER
.lob.Address 3105 HAYWARD AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner DOUGLAS E ADRIAN
Contractor SALZER SIDING
Category 141 - Exterior Remodeling
No 104602
Create Date 10/07/2003
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/ Replace existing vinyl siding with new vinyl siding on the house and garage, due to fading. *NO STRUCTURAL WORK. EIV form from
of Work Seckar Electric.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$2,464.00 Plan Approval $0.00 Permit Fee Paid
$30.00 Park Dedication $0.00
Date 10/07/2003 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 PO BOX 825 OSHKOSH WI 54903 - 0825 Telephone Number (920) 231-5025
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 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-.5084
Roofing & Siding Permit Application
Application(s) and fee(s) can be brought to City Hall, Room 205 or mat ed to Inspectton Servtces, 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, wlfich ever is greater.
OR
If you are a contractor, particivatin~ in the Permit fee Account System and have adeauate funds, check here
if you want this processed through your account [-I
/'~',. OWNER
. ~ ~ CONTRACTOR c~ ,
!:, ' I am the: El Owner OR [] Contractor
[] Muhi-J:ag~ily%~,~ ~'~ [] R~ [] Commercial
~SinCATEGORY
gle Family [] Duplex
Work beingdone:
ROOFING
[] Tear offand 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
[] Install siding on ~ h~ohouse, ~garage
~'~eplaeing vinyl with vinyl
[] Replacing steel or aluminum with vinyl (circle steel or aluminum)
layer(s) on [] house, [] garage
[] Replacing ,, with
This work is being done due tg~:'Hail D~mage ,~"~ther f~
When siding is done, one of the boxes below raust be Checked:
El lndustrial
El Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name o f Licensed Electric Conrtaclor) ' - '
AND E3 Electric Installation Verification f~rm is attached OR D sel3arate Elect Permit wm be requested,
, 2) [] Electric- Not Applicable because: D .I Blocks previously installed. D No outside lights. El Other
El Install new or [] Replace gutters
r-I Install new or [] Replace downspouts
Other related work beiagd,,one: (please note)
FA~I 1,13o I
% '.
'-' rhctrh lndallatlon VerJl~cntJolt
(lqec~eal Co.n~'~ctor Nnm~) ~,
.,,. ' (Add~ess) (City) (Sl~t.e) ' (Zip Code)
(Nnme ofpafly contributed to)
· ~. %~1~ ..~'~' . . ~ ' -
totk ~onsistl of :. (C!leck.Ope.~..Desetlbe the Nature o£ Wink)
Rc¢onne~tlon or new circuit for ~lnc~mt Hea~g Pi~t
__ ' Ecc~llon or pew e~euit for ~ie~ent El~e ~nt~ H~ter.
~eotl~ of the Se~iee EnCee C~le, Met~ ~x. alt~o~
~'.~: lightin8 flx~ due to ~d~S / 8o~t ~t~la~on. Note: New S~lee ~e
~' ' :' ' C~l~ will :eq~e ~ s~ta pc~lt.
s '
of this ~vork Is
I hereby verify II~s work will be p~o~ by
on o one n co m~u