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Home My WebLink About2010-Building (roof) CITY OF OSHKOSH No 143288 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 677 W 3RD AVE Owner THOMAS G /DIANE V RUCK Create Date 09/23/2010 Designer Contractor OWNER Category * 141 - Exterior Remodeling Plan Type • Building 0 Sign 0 Canopy 0 Fence 0 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 0 Floating Slab 0 Pier 0 Other 0 Concrete Block 0 Post 0 Treated Wood Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use /Nature DUP\ Tear off and replace roof on house and garage. of Work I i HVAC Contractor - Plumbing Contractor Electric Contractor Fees: Valuation $3,500.00 Plan Approval $0.00 Permit Fee Paid $46.00 Park Dedication $0.00 Issued By: 44- Date 09/23/2010 Final /O.P. 00 /00 /0000 ❑ Permit Voided Parcel Id # 0603920000 Cautionary Statement to Owners Obtaining Building 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. * 141 - Exterior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500 -113 on the DNR Asbestos Program website; http: / /dnr.wi.gov /air /compenf /asbestos /. For additional information on hazards present in buildings see the Pre - Demolition Environmental Checklist at http: / /dnr.wi.gov /org /aw /wm /publications /anewpub /WA651.pdf In the performance of th' work I agree to perform all work pursuant to rules governing the described construction. While the City of Oshk has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this perm' ..piication within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to 'ec e : n ecessary approval . - fore start • s.: • activity. 1 have read d un e d he aforem `tion- d information. Signature //7 A Date / 1 _� it /Owner Address 434 WIND GBROOK DR OSHKOSH WI 54904 - 7884 Telephone Number To schedule inspe' ions 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 Pa(02) 236-5050 Of HKOf H Fax: x: (920) 2 920) 236 -50- 5084 ON THE WATER Roofing & Siding Permit Application • 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 participating in the Permit fee Account System and have adequate funds. check here if you want this processed through your account (l JOB ADDRESS � � 9 �7 ��[ \ OWNER �.• i Ll� CONTRACTOR lei X" I am the: 9- 0wner OR ❑ Contractor USE CATEGORY ❑ Single Family uplex ❑ Multi - Family ❑ Rental ❑ Commercial ❑ Industrial Work being done: ROOFING Te 'ar off and replace existing roofing on B'fiouse, E garage ❑ Replace wood decking ❑ Add 1 layer of roofing to the existing layer(s) on ❑ house, ❑ garage This work is being done due to ❑ Hail Damage ❑ Other SIDING ❑ 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 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 $ > { 0 (include fair market price for labor even if you are not paying for labor) 03/02