HomeMy WebLinkAbout0132772-Building (roof)CITY OF OSHKOSH No 132772
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1015 TAFT AVE
Designer
Owner JERRY A/SHARON K LOKER
Contractor OWNER
Category 141 -Exterior Remodeling Plan
Type ~ Building _ 0 Sign ~ Canopy [~ Fence [~ Raze J
Zoning _ _ Class of Const: Size _
Unfinished/Basement Sq. Ft. Rooms Height Ft. ~ Projection)
Finished/Living Sq. Ft. Bedrooms Stories
Garage
Plumbing Contractor
Foundation ~ Poured Concrete Q Floating Slab ~ Pier [~ Other
Concrete Block 0 Post 0 Treated Wood
Occupancy Permit _ Occupancy Fee $0.00 Flood Plain
Park Dedication # Dwelling Units 0
Use/Nature
of Work
Canopies
Height Permit
# Structures 0
Signs
FR\ Remove and replace roofing and siding. Work to be done by Tim-Alan Builders.
Mvac contractor
Electric Contractor
Fees: Valuation
Issued By:
Date _0.9/09/2008 Final/O.P. 00/00/0000
Permit Voided
Parcel Id # 1606300000
101.65(1r) 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 understand of mentioned information.
Signature ~~~~ ~ A Date ~
Address 101~TAFT AVE
Create Date 09/09/2008
$12,000.00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Sq. Ft. Baths
AgenUOwner
OSHKOSH
-;~--~
WI 54902 - 0000 Telephone Number
ro 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
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050 01HKOJH
Fax: (920) 236-5084
Roofing & Siding Permit Application ON THE WATER
• 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 permit fee, which ever is greater.
OR
If you are a contractor DarticiDatinQ in the Permit fee Account Svstem and have adequate funds check here
if you want this Drocessed throu~your account n
JOB ADDRESS
OWNER ~ -G ~/ ~ ~ ~ G, O'a
CONTRACTORT_~t/~-/~ ~/ ~,~
I am the: B" Owner
~' CATEGORY
Single Family ^ Duplex
U
OR ^ Contractor
^ Multi-Family ^ Rental
Work being done:
ROOFING
Pf Tear off and replace existing roofing on 0~house, ^ garage
^ Replace wood decking
^ Add 1 layer of roofing to the existing
This work is being done due to ^ Hail Damage
SIDING
^ Install siding on house, ^ garage
^ Commercial ^ Industrial
layer(s) on ^ house, ^ garage
fd'Other G zi
^ R lacing vinyl with vinyl
Replacing steel or aluminum with vinyl (circle steel or aluminum)
^ Replacing ~~
This work is being done due to ^ Hail DamageOther
When siding is done, one of the bones below ust be checked:
1) ^ Electric -Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
(Name of Lic used Electric Contactor)
AElectric Installation Verification form is attached OR ^ Separate Elect Permit will be requested.
2) ^ Electric -Not Applicable because: ^ J Blocks previously installed. ^ No outside lights. ^ Other
^ Install new or ^ Replace gutters
^ Install new or ^ Replace downspouts
Other related work being done: (please note)
Value of the job ~~ o~P" (include fair market price for labor even if you are not paying for labor) 03/02
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
HK H Oshkosh WI 54903-1130
Office 920-236-5050
ON THE WATER Fax 920-236-5084
Electric Installation Verification
l ~/'S T9
(Address)
(Electrical Contractor Name or Homeowner's Name)
(City)
(State) (Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
4' r%yI .G
(Address where work will be performed)
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.
Reconnection 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 Electrical
Contractor.
Other
The value of this work is $
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 /installation
will be done in compliance with manufacturer and Electric code requirements.
fir LG ~V' q
(Signature of Company Officer or Homeowner) (Print Name) (Date)
/ ,,
07/07