HomeMy WebLinkAbout0127558-Building (insulation)
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OSHKOSH
ON THE WATER
Job Address 533 W 12TH AVE
CITY OF OSHKOSH No 127558
BUILDING PERMIT - APPLICATION AND RECORD
Owner JOHNNY/LISA A COATS Create Date 10/29/2007
Contractor THO AT-HOME SERVICES INC
Designer
Category
140 -Interior Remodeling Plan
Type
. Building
o Sign
o Canopy o Fence o Raze
Class of Const: Size
Rooms Height Ft. D Projection I
-
Bedrooms Stories Canopies
-
Baths Signs
-
Zoning
Unfinished/Basement
Sq. Ft.
Finished/Living
Sq. Ft.
Garage
Sq.Ft.
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
# Dwelling Units
o
# Structures 0
Park Dedication
Use/Nature SFR / Install attic insulation.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
$761.60 Plan Approval
arr?Q
$0.00 Permit Fee Paid
$25.00 Park Dedication
$0.00
Fees: Valuation
Issued By:
Date 10/30/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1301520000
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 to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
3200 COBB GALLERIA PKWY STE 200 ATLANTA
GA 30339 - 0000
Telephone Number
630-832-4049
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.
City of Oshkosh
1n~pection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OJHKOfH
ON THE WATER
Roofing & Siding Permit Application
. 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 permiJ(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I(vou are a contractor varticivating in the Permit fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account n
JOB ADDRESS 53'3 "y\}" \ d m f\~e
oWNER~T)\l CO~+S
CONTRACTOR m\)-M \"1D~ ~\ces
C:BY\~t11 \~l.
I
?51-;96a
I am the:
DOwner
OR
'9< Contractor
USE CATEGORY
){Single Family 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
Work being done:
ROOFING
,0 Tear off and replace existing roofing on 0 house, 0 garage
o Replace wood decking
o Add 1 layer of roofing to the existing
This work is being done due to 0 Hail Damage
layer(s) on 0 house, 0 garage
o Other
SIDING
o Install siding on 0 house, 0 garage
o Replacing vinyl with vinyl
, 0 Replacing steel or aluminum with vinyl (circle steel or aluminum)
o Replacing __ 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 alterations/modifications are being performed
(Name of Licensed Elecnic Contractor) R ~ "E' , , E [
by AND 0 Electric Installation Verification form is attached OR 0 Separate t~ :IuMd
2) 0 Electric - Not Applicable because: = J Blocks previously installed. 0 No outside lights. 0 Other
O(T 29 2007
DEPARTtvlENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISIOI
o Install new oeD Replace gutters
o Install new or 0 Replace downspouts
, NS-rI-V--L
Other related work being done: (please note) ~C \ OSU \Cd1Dn
Value of the job L-.J Lo \ ;
\.QO.
(~5
(include fair market price for labor even if you are not paying fOT labor)
03/02
HOME IM.l"ROVD-IEJ'IT coNTRACT
Date: /~fJ6 7
IQbN: S~$~5l:?'K
Sold. rlSlUiahed &. Insllllled by:
nm NrHolllC: Set"l~. Inc.
dIbIaJ Tn,,}tome t)epOt At-HOrne Sc:f'IiCiC.
890 oak Ccw:c:k Drive. l.ombam,/L. 60 143./5I1oU5
Ton "Fit!> (877) G06-7694; Fax (630) 932.~ 193
ChicafjlO Lie I/- 116107r&1 10"'S-269&46O
k;LEAVL' C25Y1~/I ~ ' S-~
. City Swe Zip
10-23-2007 09:51AM
FROM-THD AT HOME SERVo
Brancb Nam<t; Cbicllg1l
Brl\lIth Number: 4C1
IDS6allAttnn Add-n!lt:
533 ?J.
16309635058
7-646 P.OOI/C02 F-565
Work PlloDl!:
( )
( ).
./ ;I
}/~
~Y
J
~
\ Nl'Y /"
~ ~
~/
U.mc Alh\J'CSlI:
(If difl'e.ent ,"om 11l~1I111a\ion AddJt:S$) City SS>>le Zip
E.mail Ad~ (to ~e",ive \lpdD!e~ .nd promD\ions from The ~QIItII: Depot):
?nled l"form"darn 1/Wcl'lou (-po)rt.ha!ler"). the ownc:nJ af th~ l'r~ loeArcd III me abo~ ins'DlI~1\ addn:SS. o~t:r 10
&outroe"I wi\b TH5OI'.!.Home Service:... Ille..92,Ot!.Il<.oOtflOj,"> lJl fum'5~ de:livCir and ~o far 'I\smUl\tlOn 01 all mll\CflQla ~~
de$cnbed Oil me al'Glched s~ Sheet # ~~ CI2 ' IllCOt-pOl'llled hert:Ds 'by reference IJTId made II part hereof.
Iloll1~ Dopot l'eS1:\"1Ie5 du, right to can~el this tllllttael If, upoa r....s.upllcdo. of the job, Hollie Depot dcl~nnialC8 that U
CSlnnDt perforlll jb; DllllUllldons due III II structUral pt'41blcm ,mb the bOlDr" priclnr; Crl'Ors or brcause work rOll>lIn:d. to
comp'ete tbe job 1ll'llS nllt iltlCluded I.. tile Spc<: Shed or ConQ'ad.
CONTRACT ,\.MOUNT
tLl!SS DEl'OSIT
BALANCE DU~
ON COI\1I'1.ETION
'tMi"lllIum 25% DC Coal,_l AnIoulll~ dl'" upon
,,_vri.s .rthill i:Olltr~r.
IndJ.ellte pay_t Ml!I1Iod For
BJi.Li\..."'lCE DlJE ON COIVlPLETION:
(!olIO)' ... ...llJee< to Crc'lC J\ppn)\..I,FuJld VotiilGlltloll
a,n<1;:;~Ca~r
_ -.. ~ /4Y#!#,AJ~.
oWbclll""'l"ovide . c!>Uk os 1IllY"",';;::Vor""ihorirc /(."t.'Mr
'" ... infb"".liull I\vm your ~""k i.!Nll<c . .....~.d_ cl<ClIUllit
lII.tC1 OI1>n.r., ftam )'O~r ...duM or '" plO<.... tile 1"'1"fCl'I ft~ ,
cllodlll'lnllOC1i61l. W1>on ..,c u.. i.((l""""i... !\om rtNl' .Iu!<k 10
make on .It_ni.liln~ .......C.r. lUttdt may bo ..jdldmwn """"
,..ut aCI;I<>UIIl ftl Il100..1 UlopoymolWl " ,_1""'<1, and )l6u..,;1I "'"
rce......)'O\I' ch",t bock. .
DEPOSIT l'AYMENT OPTIONS
(!MliCCllOlimd ......11..,100 .ocIIo- .....i' "J'P"''''')
I. C~otk., eu.ltlm Cllol;Io. or us 1'w1lll SGtvi"" Mo~cY Or4er
(IloIW pIIy.1c '" 111e H""", 1)01"'1).
1. c!C4ltCml". aliii/o, _rP".Y"lCnLOpli<l~. Cirdoe Onn B._
Vi.. Mooll<'rCord Di.eo'.... A"..,;~'o I!a~
'TIIe lklllHl Oopttl tkWne hop.....""'.!!Am ~ HeN Depot emlll ~
ON--'<<..III ~f.lIh'IDS"'......ot II.m.&: H"DC'CONl..YI
A".llnb"'C~4IIh!l A~~~CO~Yl
Ar.o"'~ "1.;" ~,:y - =-
1'I"",...ituppCllnDfl (AlA.! II dri./5
uBy my/our Si;nllWle below. lfWo alee to allow }-Iome OepollO
cl1:lrge thl; above refo:cnee<l credit can! for du: deposit illrlicateu.
CudbOldor', S;iN'U",
Dlle
purchaser agrees that, immedilltel)' upon completion or the work. purchaser w111 execule 11 C:ompletion Certificate nod pay MY
bIl1uncc d\)". Purchf\l:llI" ulllO 3ilrec~ IP be jlri"'ly nno ~.\lorally oblip\ed nnd liable: helCund<:T.
EntIre A"r..~men{: 'This 4tlllcmctlt 1lDd it$ al\llchmC1lls, includinG any f"mancln8 acrcf:fJ\ent, cot'll.ln lhe complete allrCeJJllml
bclWl!:Cn \lIe portilla and (";1ft 1lOI be IImcadQd or rnodifie411nleS$ in wrilinll in & Sepllr.l.lO agrcement signed by both pATtieso
NOTICE TO P1JJlCHASER
Do not S!gD this ....llUKt b~r.., you rea" it. "OIl;U-C CRchled let 8 cO$pletel)' SllIl:..lo "DP), of the coam-.\1ICI al the UIM
'Ya. 1i1:J'. ~eJl II to protcet your rl~hlS. Do Dol" m Completion Certl6cntc before tItb prDJ~d i8 ~amplele. Law
prol>ibiU bome repair cc"tn,,:tors 'roD! rllq_ost'lnC or aeeclldnll a CII1DpldillO <::erl\ftclll" 51gned It,. the Clwocr )lrlar tu
tbe llc:lual completion of the worl< In be perfol1J"K!d LlO"Ct' the &0'01","1.
Vo", mat canc..t Ihl! tt..III,,\ivn any li1'llc prior to mldnJebl of the Ibtrd b..llIus dlaY after tbt! dale of tllli (DDlract:. See
Notice uf CB"CC'llacloo tor aD f1l:plnnlldon o( Ihls right:. There "lift be a ICr"l~ cbN'gr equal to 100/., of ,"e contract
nMollut it job is (:aneenlll'i by l"urcllllser AFtER. the third buslnesl till)', bllt BEFOfl.E mawrl1l!s ..... ordero:<l. Th"re wID
be II 8CI"lIKlt cllarge equal CO ;1.5% of the cOlltrllct llJllOUnl1f Job 15 elUlcelkd by I'lIJ'chl\ser .IJM'ER msrrrlnb ntf: ordered.
BY tvN/o\J1l SIGNA TUItE BELOW. IIWE UND~ItSTANI) TRAl" TIm AGREEMENT )t,A 'i B~ STJBJXiCT TO llEVIEW
OF MY/OUll CREDIT mSTOR'l ~D l/WF. AU1l-IOltlZE J10~ PEPOT TO Vl11UFY AND lt6Vffiw MY/Ol,}R
CREDIT RECOIU> WITH ^N fN!)El'ENO"ENT ClUIDl1' REpORTING ,\.Q1!NCY AND RE1.EASE THEM FItOM ALl..
1.JJ>,BtLl'IY n-:ClJ1Uti'l1) FRO;>A rNADVJ::R.jENT OMISSIONS OR EUORS.
~y MY/OOO Sl(jN,o..TIJ1U! B"SLOW, I.IWIa AGREE TO BY!. BOUND BY "rHF. 11<R..MS OF nus CO-"':T'/V\CT. l/Wll
ACKNOWLEDGE RECEIPT OF A ooPY OF nllS CONTRACT !\NO TWO CQM?LETEO COPIes OF 'ms :-<OTICE
OF C/l.NCli\.l.A1'10K.
SUB:'\oI1TTE
ACC'EPTaO BY:
_ "orj;(o/'
oam:JA 7JLf-
p;,to:
; ",001' nON""" TERMS AND C01.'mmONS t\JUl: ST ^ TEl) ON 'TIlE R.EVERSf. SIDE
i\.lIID AJU: PAR.T OF nus CONTRACT
1-18-01 1'&" 4..,2,.()1 c-sc. Wnllo _ B....cn FII" V\ll1law - Clio""'.....' F'1n!l- S911r.l CMBuI\l:lrtt
10-23-2007 09:51AM
FROM-THO AT HOME SERV,
16309635058
T-6~6 P,OOl/002 F-565
Branch:
Branc:ll 11:
C'fZA~~
Anle INSULATION SPEC SHEET
PESCRIPTtoN OF WORK
SPC), Sheet 6:
Job #~
1 'i 8 ..... b""
itt:. 0
:~'T'5~~g
. .,
:rfOJif' .'
?';....~ ".
CcP Phone #:
(?~} ;235=-~;fV
{~~~ 4~7:-~/O
C~tomorN<Wne.~~ e~~
Job Adcl11l6S: ~ ~.. /;tJ/.i! .4I/E..
$1_'_I_~l.l5",d 4A' ~ ~
{.?5~ ~m.. ~~~
HOlTltl Phone~:
WOrk Phano #:
" "',: '\:;" '.:;::'. ::,j". ~;:,:." 'r.',An ,.lHSU1Jl.1101!J........,~" :fr, .. -';l." ......... ..
Clolled C_lly '"..b11IatiQ"
O D DBI.'l'-D
Cord' IUn"n lDI""" .....
An'. Not Covcn:d;
I~- ~. ~ -~ ~_:- ~
-_~~ H- ~= ~ ~~
Slanda,d In&llllllllion
ft-lfJD R.;5nD FM\Il~ R04'9D
R.VeIUll ~iCil:iIB the eMCunL bei"l1 Dddod I NDI TO\lllI)
~8TII'IlG CONO,lllOlIJ, O"'.n...~ .....-9 "".dllD....,." IlCl.......,.".IIa......
h...way (9.g.. Ct!lCk9. 1tl~l'1t3li_, p..itlI8Ia'n$, ..IC..)
~
MellClt' la.(/. eel....l" olljeclt:. pe=""' ilem.. c:l<:. Idlln oc:...,.,. area)
.y/A
Atlle (e.g. bat" fort 1I!l"I"d inl" ;sC::... mold, "te.
~
TERMS ... COHDn1oNS'
Home ;l1Ii III CtJIlIliotructlcm Site
i) Your home will be a c;onslruction site during the Installation of your attic Insulation. ana il will be noisyl
Remove All"""'''' from your Attl~
o Atlles must be cleer or all slored/personal items. This lncludc~ bulls nollimllod to iten'l$ 1>uCh as clothing. trunks. boxed ilems, bicycles, 1o~S.
va/van'a!:, fUrnllUtt';. Ale.
Job Site Access
l ~ Ks(!p i" mInd thai everything we use needll 10 be as c:lose to t!'le house as po$$ibre "nCl t1W' WOl'k~ra need access 10 II groooded electrical
sourco If IIghling Is requit'Gd,
'j "rhe Olttil< SCI;e8e hole or pull-down stairway location must DC Idcntlrl0d 2r'td Ihs pelh mlllil be free arid clear. If the atlle access is loc;Jeed In a
closet. shall/lng. clothing and all other llen'l$ in the dO:;el r'leed to be rwl7lQved.
o All noored and carpeted ar83S In me palh to lhe aUlc access ntl9d to be covered by poly sheeting 10 protect againsl ins\aUlllion heses and
work9r traffic. 1110 it\ti!.QUatiOn crew will prl;lllide the poly sheeting. btlt the homeowner must Msure 1M ~Dth b1. dAM_
i: The installA1ion Cl'ew may need 10 a?ply lape to comerll or to rumiture in the path from ontry to \he home 10 tl'te attic;; eCca$$. "*'meowners
should be p1l!lpared for t!'lis to happen Or lihculd movll items UlBI could be aft'ccted.
u Plea:n: cll5ure all peCslanimals are properly secured.
Job Co"""pletior'l
o l1pon completion of yotll jcb. YOLlr Installer or F'roJeCl Manager will aSk you to sign a Ccmplelioo Certificate
= If ~QU are pay1t19 by check., please make the check payable to "The a10me Depol".
o Sctl/lee Jssues fovnd alter job completion \\rill be handled 3S part of tho 3pplle:able Product or CraftsmanshIp Warranly.
NOTE: Verblll ptomil,;e~ ear'lnOl be hOl1Orll!<l. Pfc;Jse vorify that e"9~lhlng you 9KpSClIs detslfed 1ft lIl<ll Homo: Iml>n:w_11l eol'1rnd or th,s Spell 8n081.
. have r'O'tl._d iOn" agree Ihe job &pClCifio:aticms d....crlbed aboVD and kaVQ r""l_cd llnd ;)9'.0."nth thO
Speclel TClTms end CondltJons 115ted on tbls $pac Sh"Ot.
Date:
YellClW Copy -Cull'ltlmal
PInl< COpy " sal6~ Co~'ull.ll"l
T/ll>....a.
APR-30-2001 06:48AM FROM-
T-845 P.DOI/ODI F-5B6
Safety and Buildings Division
201 W Washington Ave, 4th noor
PO Box 7082
Madison WI 53707-7082
Phone: (608) 261-8500
T1'Y: (608) 264--3777
Fax.: (608) 267-0592
SAMUl!:L 9 AQUILLANO
THO AT-HOME SERVICES INC
3200 COBB GALLERIA ~KWY STE 200
ATLANTA GA 30339
This is your Certification, License, or Registration Card.
"~-..-- ~._~.. --.....- .- - -"
--.... .....-. ~-_.._..... ..-....-.-... ,.--- --...-"'. . -----.-"-.-
Ill; 650869
THO AT-HOME SERVICES INC
I
C~rtiftt'.tiQn. tic~nx. or RclP.....tl.. NUD~
ElP":.
Dwelling ContraetOt Financial R&sponslbility
CortifiC8tion
04123/06
Wisconsin Department of Commerce
Sier..turc:
Cut around the card to remove it. Sign the card.
The card sbould be signed by the applicant If desired, you may apply a protecti....e plastic laminate (available at some
stores) to the card. Present the card to whomever requests proof of i~e.
This card should indicate other Dcpamnent of Commerce cettifications. licenses, or registrations CUn'cntl)' held. Destroy
all previous cards that have a certification.. U<:enSe. or registration category which also appears on this card. Please
review categories specified on the card. If errors or discrepancies arc found, please contact the Customer Service Center
(CSC),608-261-85oo. Be prepared to give the CSC representative the ld number printeclorll the card. The CSC should
also be notified of changes in addresses as they occur. Notification to the C$C of address changes is the responsibility
ofilie <:enification, license. or registration holder.
A renewal notice will be semt to me last address on file with the CSC at least 30 days before lhe expiration dale of each
certification, license, Of registration indicated on me card Renewals arc contingent UpOn compliance with the require-
ments specified in Corom 5, Wisconsin Administrative Code_
The Depanment of Commerce is an equal opportunity $Cl'Via; provider and employer, If you need assistance to access
services or n~d material in an alternate tonnat. please contact the depan.ment at 608-266-3151 or TIY 608-264.8777,
SBD-I0183 (R.1O/98)