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Home My WebLink About0145527-Building (siding) C i CITY OF OSHKOSH No 145527 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 437 W 5TH AVE Owner GLENN H POTRATZ Create Date 04/18/2011 Designer Contractor OWNER Category * 141 Exterior Remodeling Plan Type 0 Building O Sign 0 9 � 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 O Other 0 Concrete Block O Post 0 Treated Wood Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use /Nature SFR / REPLACE WOOD WITH VINYL SIDING ON THE HOUSE ONLY, NO STRUCTURAL CHANGES, EIV SIGNED BY THE of Work HOMEOWNER (GLENN POTRATZ) HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid �_ _ ^ $53.00 Park Dedication $0.00 Issued By: �� Y 1 Date 04/18/2011 Final /O.P. 00/00/0000 Permit Voided Parcel Id # 0905260000 Cautionary Statement to Owners Obtaining Building Permits 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. * 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 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 aforemention�'nformation. Signature --/ L...� - ��, � Date �3" 1 ipr -Agtsnt/Owner Address 437 W 5TH AVE OSHKOSH WI 54902 - 5905 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 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 Of <O [ Fax: (920) 236 -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 JOB ADDRESS 4 /3 7 W 5 t iq7i' L. OWNER 6—/E:4,1 v. A 7 rZ CONTRACTOR ��^ I am the: LEI Owner OR ❑ Contractor > CATEGORY Single Family ❑ Duplex ❑ Multi - Family ❑ 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 layer(s) on ❑ house, ❑ garage This work is being done due to ❑ Hail Damage ❑ Other SIDING ❑ Install siding on Xliouse, ❑ garage ❑ Replacing vinyl with vinyl ❑ Replacing steel or aluminum with vinyl (circle steel or aluminum) ❑ Replacing 6 0 d with (2/ r h i / This work is being done due to ❑ Hail Damage ❑ Other When siding is done, one of the boxes below must be checked: 1) Electric — E - Electric Meter, receptacle, lighting and Electric Service entrance alterations /modifications are being performed b y Cy )/ (Name of Licensed Electric Contractor) AND D Electric Installation Verification form is attached OR ❑ Separate Elect Permit will be requested. �� l�ic —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 $ j COO (include fair market price for labor even if you are not paying for labor) 03/02 City of Division I on of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903 -1130 Ol —KOJH Office 920 - 236 -5050 ON THE WATER Fax 920- 236 -5084 Electric Installation Verification I (We) �` f/c( frkrN (Electrical Contractor Name or Homeowner's Name) 7 (,( e)‹ A ()kir may /j am (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: 5-6 034 ritS (cid) tie_ • (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. €14 i f\ g (Signature of Company Officer or eowner) (Print Name) (Date) 07/07