HomeMy WebLinkAbout0126815-Building (roof/siding)
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OSHKOSH
ON THE WATER
Job Address 522 STANLEY AVE
CITY OF OSHKOSH No 126815
BUILDING PERMIT - APPLICATION AND RECORD
Owner BRIAN P/REBECCA M FUCHS Create Date 09/17/2007
Designer
Contractor OWNER
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement Sq. Ft.
Rooms
Height
Ft.
D Projection i
Canopies
Finished/Living
Sq.Ft.
Sq.Ft.
Bedrooms
Stories
Garage
Baths
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit
Occupancy Fee
$0.00 Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature
of Work
SFR/Tear offandreplace roof on house and garage and install siding. EIV provided by hoiri~b~er for electrical work.
Plumbing Contractor
HV AC Contractor
Electric Contractor
Fees: Valuation
$5,000.00 Plan Approval
~
$0.00 Permit Fee Paid
$53.00 Park Dedication
$0.00
Issued By:
Date 09/17/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1209470000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and~cure any, necessary a~r~vals before starting such activity.
Signature ~- ~~. Date <1 II? J 6'7
I .
Agent/Owner
Address 522 STANLEY AVE
OSHKOSH
WI 54901 - 2979 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Roofing & Siding Permit Application
~
OJHKOfH
ON THE WATER
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
· 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 pennit(s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR .
Ifvou are a contractor participating in the Permit fee Account Svstem and have adequate funds; check here
if vou want this processed throu'Zh vour account n
JOB ADDRESS 5 ~:::::~- <s; -h-,,\t') \~ 'I
OWNER ~('\~n '\='",c..\..-.<;
t\v~
CONTRACTOR
I am the:
%.Owner
OR
o Contractor
USE CATEGORY
,){ Single Family . 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
Work being ~one:
ROOFING
o Tear off and replace existing roofing on ~house~ garage
o Replace wood decking
o Add 1 layer of roofing to the existing
This work is being done due to 0 Hail Damage 0 Other
layer(s) onO house, 0 garage
SIDING
o Install siding on 0 house, . 0 garage
o Replacing vinyl with viny!
o Replacing steel or aluminum with vinyl (circle stee;l or aluminum)
OReplacing L"2~ e..r- with
This work is being done due to 0 Hail Damage 0 Other
When siding is done, one of the boxes below must be checked:
. I) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alte~tions/modifications are being performed
by .
?
~
(Name of Liccnsed Electric Contractor)
AND 0 Electric Installation Verification form is attached OR
o Separate Elect Permit will be requested.
.2) 0 Electric':'" Not Applicable because: 0 J Blocks previously ins.taIled. 0 No outside lights. 0 Other
o Install new or 0 Replace gutters
o Install new or 0 Replace downspouts
~
I) . ~ I
Ip-.le.
Other related work being done: (please note)
Value of the job $ -5~~ ,(2)\2\
(include fair market price for labor even if you are not paying for labor)
03/02
~
OfHKOfH
ON THE WATER
I (We)
City of Oshkosh
Division ofInspection Services
215 Church A venue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
~-{"~~'^ '\::v-C~\
(Electrical Contractor Name or Homeowner's Name)
:5 ;:). ~
(Address)
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~~,~c:,<~
(City)
~ \N \
(State)
9\ 9<::> )
(Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
S ':) cl- S'r,,~.~ b",,-
(Addr ss where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
:t-
Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconne~tioI'l_~f!~~___~_~!"yi~~__.~E!~~~ Cable, !"1eter B.o~er~~;~~~~-rec'eptacI~S=;;-~
carrdtfglifing fixt~e.~ _~~_!~!!~ soffit ms~allatlOn. Note: New SerVice--"'--~---'-'~--
'bntrance--eabl^es WIll reqmre a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of AIC to an individual dwelling unit, in~luding
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 Electrical
Contractor.
Other
The value of this work is $ 6a
I hereby verify this work will be performed in compliance with the License requirements of
Section 11-22 of the Oshkosh Municipal code and further verify the reconnection I installation
will be done in compliance with manufacturer and Electric code requirements.
~~:--.- ~.
(Signature of Company Officer or Homeowner)
~ 1,'~ <"~ Y'\ '\:' '" c.\- ~.
(Print Name)
91/t}(:);
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(Date)
07/07