HomeMy WebLinkAbout0132854-Building (roof)
OSHKOSH
ON THE WATER
Job Address 628 CEAPE AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner THOMAS G PUTZER
Contractor
No 132854
Create Date 09/12/2008
Category 141 -Exterior Remodeling __ Plan
Type ~ Building Q Sign _ Q Canopy Q Fence Q Raze _
Zoning Class of Const: Size
Unfinished/Basement Sq. Ft. Rooms Height Ft. ^ Projection
Finished/Living Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation ~ Poured Concrete Q Floating Slab Q Pier Q Other
Q Concrete Block Q Post Q Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit ___
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature DUPLEX /TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE ONLY, NO STRUCTURAL CHANGES
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
OWNER
Plumbing Contractor
$6,000.00 Plan Approval $0.00 Permit Fee Paid $60.00 Park Dedication $0.00
Date 09/12/2008 Final/O.P.00/00/0000
^ Permit Voided
Parcelld # 0801640000
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 with' an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any ne a pr vats before starting such activity.
I have read and understa a of coned information.
Signature ~ /~ -D
Date
`~ ~ ~ Agent/Owner
Address 628 CEAPE AVE _ OSHKOSH WI 54901 - 5211 Telephone Number foZO-a3a -~,S-v
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
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Pho (: (9j 0) 236-5050 01HK0~
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
Ifyou are a contractor Darticinating in the Permit fee Account System and have adequate funds. check here
if you want this Drocessed through your account
JOB ADDRESS (~ O~ 8 ~i~~ P~ /'¢ y
OWNER ~,rl ~~ T2
CONTRACTOR S,t~F
I am the: ~ Owner OR ^ Contractor
USE CATEGORY
^ Single Family Duplex ^MultrFamily ^ Rental ^ Commercial ^ Industrial
Work being done:
ROOFING
^ Tear off and replace existing roofing on ~ house, ^ garage
^ Replace wood decking
^ Add 1 layer of roofing to the existing
This work is being done due to ^ Hail Damage ^ Other
SIDING
layer(s) on ^ house, ^ garage
^ Install siding on ^ house, ^ garage
^ Replacing vinyl with vinyl
^ Replacing steel or aluminum with vinyl (circle steel or aluminum)
^ Replacing
with
This work is being done due to ^ Hail Damage ^ Other
When siding is done, one of the boxes below must be checked:
1) ^ Electric -Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications aze being performed
by
(Name of Licensed Electric Contactor)
AND ^ Electric 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)
~0~~
Value of the job $ (include fair market price for labor even if you are not paying for labor) 03/02