HomeMy WebLinkAbout0102784-Building (siding/windows)OSHKOSH
ON THE WATER
*Job Addreee 1045 CUMBERLAND TRL
Designer
Category 141 - Exterior Remodeling
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner PATRICK J/BETH OSOWSKI Create Date
Contractor OWNER
Plan
No 0102784
07/11/2003
Type · Building C) sign
zoning
Unfinished/Basement 0 Sq. Ft.
Finished/Living 0 Sq. Ft.
Garage 0 Sq; Ft.
Foundation · Poured Concrete (~) Floating Slab
(~ Concrete Block (~ Post
Occupancy Permit Not Required
Park Dedication
(~) Canopy O Fence (~ Raz.e~ ......................
Class of Const: Size
Rooms 0 Height 0 Ft. [] Projection
Bedrooms 0 Stories Canopies
Baths 0 Signs
(~) Pier (~ Other
O Treated Wood
Flood Plain Height Permit
# Dwelling Units 0 # Structures 0
Use/Nature ;FPJReplace existing wood siding on house & garage with vinyl, install new gutters and downspouts. Install 2 replacement (same
of Work ;ize/Iocati0n).* Homeowner EIV form attached. NO STRUCTURAL WORK.
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $8,000.00 Plan Approval $0.00 Permit Fee Paid
Issued By: ~
[] Permit Voided ',
n the per[ormance of/~s ~agreet~erf~all work pursuant to rules governing the described ~nstruction.
AgenFO~er
$55.00 Park Dedication $0.00
Date 07/11/2003 Final/O.P. 00/00/0000
Date ?
Address Oshkosh WI 54901 - 0000 Telephone Number
City of Oshkosh
Inspection Services Division
P O Box 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
nonnal 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 Vou want this processed through your account N
CONTRACTOR ~ ~
I am the: ~Owner OR [] Contractor
i E CATEGORY
ngle Family E3 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 existing layer(s) on [] house, [] garage
This work is being done due to [] Hail Damage [] Other
SIDING
[] Replacing vinyl with vinyl
[] Replacing steel or aluminum with vinyl (circle steel or aluminum)
~ Replacing /C~M ~,~CLJ /~C~'~,} with
This work is being done due to [] O ge ZOther
When siding is done, one of the boxes below must be checked:
1 ) [il, Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being perfonnod
by. o,-~-~ tc"-
(Name o f Licer~ed Electxi¢ Contractor)
AND ~ Electric Installation Verification f~rm is attached OR [3 Sel~arate Elect Permit w~ bc requested.
2) [] Electric - Not Applicable because: [3 J Blocks previously installed. [3 No outside lights. E Other
Instalt new or [] Replace gutters
Install new or [] Replace downspouts
Other related work being done: (plcase notc) '~ toe--fief5
Value of the jOb $ ~1~ (include fair market price for labor even if you are not paying for labor) 03/02
O./HKO/H
City of Oshkosh
Division of Inspection Services
215 Church Avenue
POBox I130
Oshkosh WI 54903-1 ] 30
Office 920-236-5050
Fax 920-236-5084
I (We) · r t.
the homeowner(s) of
Electric Installation Verification
(print homeowner(s) name)
(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.
__ Recormection or new circuit for replacement Electric Water Heater or power vented
water heater.
Recormection of the Service Entrance Cable, Meter Box, al~_terations 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 $ ~(Z9
I hereby verify this work will be performed by me and further verify the reconnection /
installation will, be done in complianc~'with manufacturer and Electric code requirements.
Homeowner(s) Signature (Date)
5~02