HomeMy WebLinkAbout0128157-Building (siding)
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OSHKOSH
ON THE WATER
Job Address 1122 DOVE ST
CITY OF OSHKOSH No 128157
BUILDING PERMIT - APPLICATION AND RECORD
Owner MARK R1AMIE S LEE Create Date 12/13/2007
Contractor OWNER
Designer
Category
Type
Zoning
Unfinished/Basement
Finished/Living
141 - Exterior Remodeling
. Building 0 Sign
Plan
o Canopy
Class of Const:
o Fence
o Raze
Garage
Sq. Ft.
Sq.Ft.
Sq.Ft.
Rooms
Bedrooms
Baths
o Pier 0 Other
o Treated Wood
Height
Stories
Ft.
Size
D Projection I
Canopies
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
Occupancy Permit Occupancy Fee $0.00 Flood Plain
Park Dedication # Dwelling Units 0
Use/Nature Duplex /Install siding on house. No electrical work.
of Work
Height Permit
# Structures
o
HV AC Contractor
Electric Contractor
Plumbing Contractor
$32.00 Park Dedication $0.00
Date 12/13/2007 Final/O.P. 00/00/0000
Parcelld # 0000000000
Fees: Valuation $1,700.00 Plan Approval
a~
$0.00 Permit Fee Paid
Issued By:
D Permit Voided I
Cautionarv Statement to Owners Obtainina Buildina Permits
101.65(1 r) of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an owner who applies for a
building permit with a statement advising the owner that:
If the owner hires a contractor to perform work under the building permit and the contractor is not bonded or insured as required under
s. 101.654 (2) (a), the following consequences might occur:
(a) The Owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of
the work performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the
work performed under the building permit.
(b) The Owner may not be able to collect from the contractor damages for any loss sustained by the owner because of a violation by the
contractor of the one and two family dwelling code or an ordinance enacted under sub. (1) (a), because of any bodily injury to or
death of others or damage to the property of others that arise out of the work performed under the building permit or because of any
bodily injury to or death of others of damage to the property of others that is caused by any negligence by the contractor that occurs
in connection with the work performed under the building permit.
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.
I have read and u ders nd th a remention~d information.
Signature ( Date I 3 - Dee" ,- 07
Agent/Owner
Address
PO BOX 3883
OSHKOSH
WI 54903 - 3883
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: (9iO) 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 withoutpermit{s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
Ifvou are a contractor participatinfl in the Permit fee Account Svstem and have adequate funds, check here
ifvou want this processed throuflh vour account n .
JOB ADDRESS
MI1 RfL:-
5E.t.;r
)( Owner
OWNER.
f/ d d- Dc'Ve-
L~f.-
Sr7<Z z:. I
CONTRACTOR
I am the:
OR
o Contractor
USE CATEGORY
o Single Family '9Duplex '
o Multi-Family
o Rental
o Commercial
o Industrial
Work ~eing ~one:
ROOFING
o 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 lfail Damage 0 Other
layer(s) on 0 house, 0 garage
SIDING
~ Install siding on ;gf house, . 0 garage
o Replacing vinyl with viily!
o Replacing steel or aluminum with vinyl (circle ste~l or aluminum)
q Replacing with
This work is being done due to 0 Hail Damage lZi Other R r.:= N i:JV r-t T{ 0..0
When siding is done, one of the boxes below must be checked:
. 1) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by ,
(Name of LicellSed Electric Contractor)
AND 0 Electric Installation Verification form is attached OR
o Separate Elect Permit wm be requested.
. 2) ;Q:' Electric :.- Not Applicable because: ~IOCkS previously installed. 0 No outside lights. 0 Other
o Install new or 0 Replace gutters
o Install new or 0 Replace downspouts
Other related work being done: (please note)
~
Value of the job $ /100
(include fair market price for labor even if you are not paying for labor)
03/02