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HomeMy WebLinkAbout0133786-Building (roof & siding)CITY OF OSHKOSH OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 631 SHAWANO AVE Owner MARC T GUIDARINI Designer Contractor OWNER Category 141 -Exterior Remodeling -___._ Type ~ Building Q Sign Q Canopy Q Fence Q Raze Zoning Class of Const: Unfinished/Basement Sq. Ft. Finished/Living Sq. Ft. Garage Sq. Ft. Foundation ~ Poured Concrete Q Floating Slab Q Concrete Block ~ Post Rodms Bedrooms Baths Height Ft. Stories Q Pier Q Other Q Treated Wood Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Park Dedication # Dwelling Units 0 Use/Nature of Work Height Permit # Structures No 133786 Create Date 11/03/2008 Plan Size Projection Canopies Signs 0 ! TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE NG ON THE HOUSE AND GARAGE, NO STRUCTURAL CHANGES HVAC Contractor Electric Contractor Fees: Valuat' Issued By: (~ Plumbing Contractor Plan Approval $0.00 Permit Fee Paid Permit Voided $74.00 Park Dedication $0.00 Date 11!03/2008 Final/O.P. 00/00/0000 Parcel Id # 0201540000 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 rs d e 8f ent' d inform Upon. r `~ Signature L Date Agent/Owner Address 631 SHAWANO AVE OSHKOSH WI 54901 - 5126 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 pertormed 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 Q1HKQIH Fax: (920)236-5084 Roofing & Siding Permit Application ON THE 4VATFR • 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 ~you are a contractor participative in the Permit fee Account System and have adequate funds check here i~you want this processed through your account n JOB ADDRESS `~ v ~ v ~ ~~ ~ " T ~ ~ U (: ~ ~ Kl~ pC1 vV ~ ~ ` 4 ~ I OWNER ~b~3« ~ m~~c Gvrr~ ~-~~~~~ CONTRACTOR I am the: Owner OR ^ Contractor USE CATEGORY Single Family ^ Duplex ^Muiti-Family ^ Rental ^ Commercial ^ Industrial Work being done: ROOFING ~1 Tear off and replace existing roofing on house, ~) garage ^ Replace wood decking ^ Add 1 layer of roofing to the existing l~a er(s on ^ house, ^ garage This work is being done due to ^ Hail Damage Other SIDING d4 Install siding on house, (garage ^ Replacing vinyl with vinyl ^ Replacing steel or alt~tinum with vinyl (circle steel or aluminum) Replacing with ~ ~ (~ This work is being done due to ^ Hail Damage ~ Other V V y When siding is done, one of the boxes below must be checked: I) ^ Electric -Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed by (Name of Licensed Electric Contractor) 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) ~ ~~ Value of the job $ 8 DOC'. ~ (include fair market price for labor even if you are not paying for labor) 03/02