Loading...
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