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Home My WebLink About0152201 - building (roof) 1:& CITY OF OSHKOSH No 152201 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1765 BRENTWOOD DR Owner JULIE A TYRIVER Designer — Create Date 09/07/2012 Contractor OWNER Inspector Nicole Krahn Category 041 -Residential Roofing Type • Building 0 Sign 0 Canopy 0 Fence 0 Plan Raze Zoning R-1 — Class of Const: Unfinished/Basement Size Sq.Ft. Rooms Height Ft. Ft. — ❑ Projection Finished/Living Sq. 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 Not Required Occupancy Fee $0.00 Flood Plain Park Dedication Not Required _ — Height Permit Not Required q #Dwelling Units 0 #Structures 0 Use/Nature SFR/TTTEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE DUE TO HAIL DAMAGE, NO of Work STRUCTURAL CHANGES(WORK BEING DONE BY TWO DAWGS) **check#1005 HVAC Contractor - -_ Plumbing Contractor Electric Contractor Fees: Valuation $7,500.00 Plan Approval _ $0.00 Permit Fee Paid Issued By: $74.00 Park Dedication $0.00 Date 09/07/2012 Final/O.P. 00/00/0000 ❑ Permit Voided j Parcel Id# 1318200000 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 t• ecure any necessary approvals before starting such activity. I have read a . derstan a afofjementione Jn s tion.1 / q r� Signature 4 (/-L,cr .L l l-cw c I /t�'lf 1 , 1 _j �., Date Agent/Owner Addres- 176'BRENTWOOD DR OSHKOSH WI 54904 - 8303 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 H30 Oshkosh, WI 54903-1130 Phone:(920)236-5050 Fax: (920)236-5084 Of I Of Roofing & Siding Permit Application ON NIF sv`tF • 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 two want this processed through your account n JOB ADDRESS I-1(es- ivr`V t !) , • 1 4058-k-65 14 + L 1 OWNER `---ILL-01/1 . ?f./41-4,X I 1 f ✓`L /�„ CONTRACTOR b S I am the: ( I Owner OR ❑ Contractor IsISE CATEGORY Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial 0 Industrial Work being done: ROOFING It Tear off and replace existing roofing on t house,'garage ❑Replace wood decking ❑Add 1 layer of roofing to the existing layer(s)on 0 house, 0 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: I) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed by (Name of Licensed Electric Contractor) AND l Electric Installation Verification form is attached OR Li Separate Elect Permit will be requested. 2) ❑ Electric—Not Applicable because: U J Blocks previously installed. i7 No outside lights. U Other ❑ Install new or❑Replace gutters ❑Install new or❑ Replace downspouts Other related work being done: (please note) Value of the job $ 7566 °C) (include fair market price for labor even if you are not paying for labor) 03/02 1 UD