HomeMy WebLinkAbout0105100-Building (siding)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 tee Account System and have adequate funds, check here
if Fou want this processed through your account [~
JOB ADDRESS lOgP
-
USE CATEGORY
~ingle F~ly ~ Duplex ~ Multi-Fmily ~ Rental
Work being done:
ROO~NG
~ Tear off~d replace existing roofing on ~ house, D g~age
~ Replace wood decking
~ Add 1 layer of roofing m the existing
~is work is being done due m ~ Hail Dmage ~ Other
SIDING
~ Replacing vinyl wi~ vinyl
[]Coinmercial rnlndustrial
layer(s) on [] house, El garage
[3 Replacing steel or aluminum with vinyl (circle steel or aluminum)
This work is being done due to [] Hail Damage [] Other
When siding is done, one of the boxes below must be checked:
1 ) [] Electric T/Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by h~rT~ ~ f)oc~,~gf
(Name o f Licensed Electric Contractor)
AND [3 Electric Installation Verification f~rm is attached OR. C Separate Elect Permit will be requested.
2) [] Electric - Not Applicable because: [] J Blocks previously installed. C No outside lights. El Other
[] Install new or ~ Replace gutters
[] Install new or I~Replace downspouts
Other related work being done: (please note)
Value of the jOb $ /P, ~'~) 0 (include fair market price for labor even if you are not paying for labor) 03/02
City of Oshkosh
Division of Inspection Services
215 Chttrch Avenue
PO Box 1130
Oshkosh Wl 54903-1130
Office 920-236-5050
(We)
the homeowner(s) of
El~j~tric Installation Verification
(print homeowner(s) name)
(address where work ~s 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.
Recormection or new circuit for the replacement of other permanently wired
appliances / fixtures.
__ New circuit for the addifion 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 $ ~ 0 -300
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