HomeMy WebLinkAbout0102690-Buildilng (siding) CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
No 0102690
OSHKOSH
ON THE WATER
Job Address 1045 CANTERBURY DR Owner DAWN M HERZIG Create Date 07/08/2003
Designer Contractor OWNER
Category 141 - Exterior Remodeling Plan
Type · Building 0 Sign (~ Canopy (~ Fence ~ Raze J
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. [] Projection J
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies 0
Garage 0 Sq. Ft. Baths 0 Signs 0
Foundation · Poured Concrete (~ Floating Slab (~ Pier (~) Other
C) concrete Block 0 Post (~) Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature SFR/Install vinyl siding over existing siding on house & garage. Insta, soffit and fascia.* Homeowner ElY form attached. NO
of Work STRUCTURAL WORK.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: 1/,,~'''~
$2,000.00 Plan Approval
Plumbing Contractor
$0.00 Permit Fee Paid $25.00 Park Dedication $0.00
Date 07/08/2003 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.
Signattlre ~(/~4dr~ A//[ ~ ~(..~01~A Date
gent/Owner
Address Oshkosh WI 54901 - 0000 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/HKO/H
ON THE 'WATER
· 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 participatin£ in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account ~
Se
I am the: ~ Owner OR [] Contractor
USE CATEGORY
~ingle Family [] Duplex [] Multi-Family
Work being done:
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
~;~Jnstall siding on ,1~ house, ~ garage
[] Replacing vinyl with vinyl
[] Replacing steel or aluminum with vinyl (circle steel or aluminum)
[] Replacing with
This work is being done due to [] Hail Damage [] Other
[] Rental [] Commercial r-i Industrial
layer(s) on [] house, FI garage
When siding is done, one of the boxes below must be checked:
1 ) [] Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licemed Electric Contractor)
AND [] Electric Installation Verification f~rm is attached OR. [] Sel~amte Elect Permit wffi be requested.
2) [] Electric - Not Applicable because: I2 J Blocks previously installed. [] No outside lights. E1 Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note)
"~g-.; 0 0 0 (include fair market price for labor even if you are not paying for labor) 03/02
Value
of
the
J
Ob
$
Q City of Oshkosh
Division of Inspection Services
215 Chumh Avenue
PO Box 1130
Oshkosh WI 54903-I 130
O/HKO/H
I (We)
the homeowner(s) of [0 ffc,~
Electric Installation Verification
[print homeowner(s) name)
(address where wor~ 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 off (Check One or Describe the Nature of Work)
__ Reconnection or new circuit for replacement Heating Plant and/or AdC Condenser.
__ Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
__ Reconnection 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 AdC 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 $ 2'~
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) SYgn~ture
(Date)
5/02