HomeMy WebLinkAbout0102678 BOSHKOSH
ON THE WATER
.lob .Address 410 W 20TH AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner DANIELA RICHTER
Contractor OWNER
Category 141 - Exterior Remodeling
No 0102678
Create Date 07/07/2003
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 slate siding on house with vinyl.* Homeowner EIV form attached. NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$3,800.00 Plan Approval $0.00 Permit Fee Paid
$35.00 Park Dedication $0.00
Date 07/07/2003 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.
Signature
Date
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
OSHKOSH
ON THE WATER
Job Address 410 W 20TH AVE
Designer
Category 141 - Exterior Remodeling
Type · Building (~ Sign
Zoning
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner DANIEL A RICHTER Create Date
Contractor OWNER
Plan
(~) Canopy (~ Fence 0 Raze
Class of Const: Size
No 0102678
07/07/2003
Unfinished/Basement 0 Sq. Ft.
Finished/Living 0 Sq. Ft.
Garage 0 Sq. Ft.
Foundation · Poured Concrete (~) Floating Slab
C) concrete Block (~) Post
Occupancy Permit Not Required
Park Dedication
Rooms 0 Height 0 Ft.
Bedrooms 0 Stories
Baths 0
(~ Pier (~) Other
(~) Treated Wood
Flood Plain Height Permit
# Dwelling Units 0 # Structures
Canopies
Signs
0
Use/Nature SFR/Replece existing slate siding on house with vinyl.* Homeowner EIV form attached. NO STRUCTURAL WORK.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
$3,800.00 Plan Approval
Plumbing Contractor
$0.00 Permit Fee Paid $35.00 Park Dedication $0.00
Date 07/07/2003 FinallO. P. 00/00/0000
[] Permit Voided J
in the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature ,~{~¢~ ~ Date
Agent/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
.OfHKOJ'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 pmTnit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account [~
Joa AOVm SS
owNER
CONTRACTOR
I am the: [~wner OR [] Contractor
~S~nCATEGORY
gle Famdly [] Duplex [] Multi-Family [] Rental
[] Commercial [] Industrial
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
~/~nstall siding on ~;t/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
layer(s) on [] house, [] garage
When siding is done, one of the boxes below must be checked:
1) [] Electri~c - Existing Electric Meter. receptacle, lighting and Electric Service entrance alterations/modifications are being performed
tName of Lieemed Electric Cont~etoo
AND_~'i~ctric Installation Verificat on f~rm s attached OR ~ Sel3arate Elect Permit wffi be requested.
2) [] Electric - Not Applicable because: [] J Blocks previously installed. [3 No outside lights. [3 Other
[] Install new or [] Replace gutters
[] Install new or [] Replace downspouts
Other related work being done: (please note)
Value of the job $ ~.~rft~ t~, t~ ~ (include fair market price for labor even if you are not paying for labor) 03/02
Electric Installation Verification
(print homeowner(s) name)
the homeowner(s) of ~/~ 79-'.,~'7~A~.,/c° f'~g>~,/rav ?~/
(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 replacement Heating Plant and/or A/C 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.
__ Recormection 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 $ ~)~-d ~
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