HomeMy WebLinkAbout0102682-Building (siding)OSHKOSH
ON THE WATER
.lob .Address 328 W 15TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner BRIAN M/GRETAA BOULTER/KAY HELF
Contractor OBY CONSTRUCTION LLC
Category 141 - Exterior Remodeling
No 0102682
Create Date 07/08/2003
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 steel siding with new vinyl siding on the house and garage & cedar shake on the 2 dormers and the front porch peek,
of Work due to old age. *NO STRUCTURAL WORK. Homeowner EIV form attached.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$4,500.00 Plan Approval $0.00 Permit Fee Paid
$40.00 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.
Signature
Date
Agent/Owner
OSHKOSH
Address 328 W 15TH AVE WI 54902 - 6518 Telephone Number
OSHKOSH
ON THE WATER
Job Address 328 W 15TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner BRIAN M/GRETA A BOULTER/KAY HELF Create Date
Contractor OBY CONSTRUCTION LLC
No 0102682
07/08/2003
Category
141 - Exterior Remodeling
Type · Building (~ Sign
Zoning
Unfinished/Basement 0 Sq. Ft. Rooms
Finished/Living 0 Sq. Ft. Bedrooms
Garage 0 Sq. Ft. Baths
Foundation · Poured Concrete (~ Floating Slab (~ Pier
(~ Concrete Block (~ Post
Occupancy Permit Nat Required
Park Dedication
Plan
Canopy C) Fence (~ Raze
Class of Const:
0 Height
0 Stories
0
Other
0 Ft.
(~ Treated Wood
Flood Plain Height Permit
# Dwelling Units 0 # Structures 0
Size
[] Projection J
Canopies 0
Signs 0
Use/Nature SFPJ Replacing existing steel siding with new vinyl siding on the house and garage & cedar shake on the 2 dormers and the front porch
of Work ,eek, due to old age. *NO STRUCTURAL WORK. Homeowner EIVform attached.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
$4,500.00 Plan Approval
Plumbing Contractor
$0.00 Permit Fee Paid $40.00 Park Dedication $0.00
Date 07/08/2003 FinallO.P. 00/00/0000
[] Permit Voided J
In the performance of this work/agree to perform all work pursuant to rules governing the described construction.
Signature ~--'"~~~ ..... Date
~ ~"'~ ~ Agent/Owner
Address 328 W 15TH AVE OSHKOSH Wt 54902 - 6516 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
· Application(s) and fee(s) can be brought to City Hail, 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
lf vou are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account
JOB ADDRESS ~2~
CONTRACTOR
I am the: .l~Owner OR [] Contractor
USE CATEGORY
~Single Family [] Duplex
[] Multi-Family [] Rental [] Commercial [] Industrial
Work being done:
ROOFING
[] Tear offand replace existing roofing on [] house. [] garage
[] Replace wood decking
[] Add 1 layer of roofing to the cxist!ng.
This work is being done due to [] Hail Damage [] Other
SIDING
l~Install siding on l~ouse, ~garage
[] Replacing vinyl with vinyl
l~Replacing~r alumioum with vinyl (circle steel or aluminum)
[] Replacing with
layer(s) on [] house. [] garage
This work is being done due to [] Hail Damage fiffOther 0L~ ~/O/~F_.~ /~,~./) ~/~,.~C~)
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 arc being performed
by
(Name of Licc~cd~l~%tdc Contractor)
AND ~lectric Installation Verification f~rm is attached OR_ 3 Sel~arate Elect Permit wffi be requested.
2) [] Electric - Not Applicable because: D J Blocks previously installed D No outside lights. 12 Other
[] Install new or [] Replace guners
[] Install new or [] Replace downspouts
Other related work being done: (please note)
Value of the job $ L/~t?O'"~ (includefairmarketpriceforlaborevenifyouarenotpayingforlabor) 03/02
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Electric Installation Verification
I (We) ~£,
(print homeowner(s) name)
the homeowner(s) of '~2~ i,~J~ i "~&~ .-~9 ~'
(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)
Reconnection or new circuit for replacemc~nt Heating Plant and/or A/C Condenser.
Reconnection 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 $ t~ "~
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