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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