HomeMy WebLinkAbout0152407 - building (add layer on to house) CITY OF OSHKOSH No 152407
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2766 FOND DU LAC RD Owner DAVID M VEITH/KRISTINE J GRAFFEN Create Date 09/17/2012
Designer _ _ Contractor OWNER
Inspector Nicole Krahn
Category 041 -Residential Roofing _ Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning C-1 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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature 1SFR/ADD 1 LAYER TO THE EXISTING LAYER ON THE HOUSE ONLY **CHECK#1241
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Val ioonn�' $2,100.00 Plan Approval $0.00 Permit Fee Paid $39.00 Park Dedication $0.00
Issued By e" Il Date 09/17/201.2
_ Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1413340300
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 any necessary approvals before starting such activity.
I have read and erstan the aforementioned information. ,
Signature � .i!'y— 1--l 7- ! /7
Date —17"t'2
Agent/Owner
Address 2766 FOND DU LAC RD OSHKOSH WI 54902 - 7247 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
Pax: ( (920)236-5084
OfHKOIH
Fax: (920)236-5084
Roofing & Siding Permit Application ON THE WATER
• 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 pi
JOB ADD SS c ` 1p Y / 6144 J tiaj 0,C4 3 ( l P
OWNER UCLVA 1 rd's i�� Vet
CONTRACTOR
I am the: PrOwner OR ❑ Contractor
USE CATEGORY
l lsingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
l Jfear off and replace existing roofing on house,❑garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing ( layer(s)on Louse,❑garage
This work is being done due to❑Hail Damage ❑Other Its/
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. G Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the b $o O(
,l (include fair market price for labor even if you are not paying for labor) 03/02