HomeMy WebLinkAbout0152124 - Building (roof) (a) CITY OF OSHKOSH No 152124
OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1432 MARICOPA DR Owner WALLACE W/JOANN B OCONNOR Create Date 09/05/2012
Designer
Contractor OWNER
Inspector Nicole Krahn Plan
Category 041 -Residential Roofing
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Size
Zoning R-3 Class of Const:
Height Ft. ❑ Projection
Unfinished/Basement Sq.Ft. Rooms Canopies
Sq.Ft. Bedrooms Stories
Finished/Living q• Signs
Garage Sq.Ft. Baths
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 1COMM/Tear off and replace roofing. Replacing with metal roofing. Venting shall be provided. No structural alterations.
of Work
Plumbing Contractor
HVAC Contractor
Electric Contractor
Fees: Valuation $5,50 .00 Ian Approval $0.00 Permit Fee Paid Date 09/05/2012 Park Dedication F nallO.P. 00/00/0000
Issued By: . —• s��
❑ Permit Voided Parcel Id# 1314860000
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.
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 necessary approvals before starting such activity. /�
I have read and un.-rstand he aforementi Jonenformation. ! `' /� Date
�, _ �
Signature ?f jJ��' / --/, u rat �v
Agent/Owner
Address 130 SUNK ILL AVE OSHKOSH WI 54902 - 7433 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Nameer,Type
Phone of
Inspection(i.e. Footing,Service,Final,etc.),Access into Building if Secure(how do we gain entry),your
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
Phone:( 0) 54903-1130
Phone:(920)236-5050 Uf J
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account R
JOB ADDRESS C 4, 3 a 1 " ----
OWNER L 'C 0N�l OR —
CONTRACTOR
I am the: Owner OR ❑ Contractor
USE CATEGORY
D Single Family ❑ Duplex Multi-Family ❑ Rental ❑Commercial ❑ Industrial
Work being done:
ROOFING
iiSTear off and replace existing rooting on 1 `house,❑garage
❑ Replace wood decking C34c;
❑Add I layer of roofing to the existing layer(s)on usl house,❑garage
This work is being done due to 0 Hail Damage ❑Other
SIDING
❑Install siding on ❑house. ❑garage
❑Replacing vinyl with vinyl
❑ Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to❑Hail Damage ❑Other
When siding is done,one of the boxes below must be checked:
1) ❑ Electric--Existing Electric Meter.receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND Electric Installation Verification form is attached OR Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: J Blocks previously installed. No outside lights. Other
0 Install new or❑ Replace gutters
❑ Install new or❑ Replace downspouts
Other related work being done: (please note)
Value of the job$ 5„5(:,40, no (include fair market price for labor even if you are not paying for labor) 03/02
2,6 5 5