HomeMy WebLinkAbout0155194 - Building (patio) @ . CITY OF OSHKOSH No 155194
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1991 S OAKWOOD RD Owner BRANDON P/AMBER R BUSS Create Date 04/22/2013
Designer Contractor OWNER _
Inspector Nicole Krahn
Category 142-Decks,Patios,Ramps _ Plan
Type • Building O Sign O Canopy O Fence 0 Raze
Zoning R-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 O Floating Slab O Pier 0 Other
O Concrete Block O Post O Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Constructing a patio in the side yard and installing vinyl siding on the house and attached garage.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $9,820.00 Plan Approval $0.00 Permit Fee Paid $125.00 Park Dedication $0.00
Issued By: Lit~ Date 04/22/2013 Final/O.P. 00/00/0000
❑ Permit Voided] Parcel Id# 1331200000
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 underst the a remen n information. /l
Signature remen
- Date %//d/dr13
Agent/Owner
Address 1991 S OAKWOOD RD OSHKOSH WI 54904 - 8340 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.
Buildin g Permit Application
,.( ,
City of Oshkosh Inspection Services Division
❑ Check this box if you are a contractor participating in the Permit Fee Account System and you would
like this permit processed through your account.
Project Address: 1 Q q 1 5 Oc k v o oot ioj Circle one: Single Famit Duplex Commerical
Owner's Name: VeainJo0 'g uss Daytime Phone#: 603'-al5-1630
Contractor's Name: Daytime Phone#:
If the contractor is applying for the permit provide the following:
Dwelling Contractor# Contractor Qualifier#
*These two credentials are required by the State of Wisconsin Safety and Buildings Division for any contractors
conducting work on residential property.
Value of the project including labor and material costs $ `f$ao. Do
*The value for both materials and labor is required to ensure consistency in assessing permit fees for all applicants
even if you're doing your own work A general rule of thumb is to double the material cost or provide an estimate
from a contractor.
Full description of the work being done:
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Any
w ork not n
o ted on
th is application will not b e included on the p
ermit!
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Please read the following and sign and date this application prior to applying for the building permit.
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional reviews and permits to be obtained. I acknowledge and agree to these
terms. /�
Signature: 1,~e—L '4 Date: Lt/0101/ 09..0 `3
4
City of Oshkosh
Inspection Services Division
PO Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 Of HKO/H
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account
JOB ADDRESS 6111 5 Oakwood lid
OWNER jl^7YI JQYI alI6s
CONTRACTOR
I am the: IgOwner OR ❑ Contractor
USE CATEGORY
,Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
❑Tear off and replace existing roofing on❑house,❑garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to❑Hail Damage ❑Other
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
Replacing steel o>iuminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to 14 Hail Damage ❑Other
When siding is done,one of the boxes below must be checked:
1) yl Electric—,Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by gran of 64 15t4$
(Name of Licensed Electric Contractor)
AND 7 Electric Installation Verification form is attached OR L Separate Elect Permit will be requested.
2) El Electric—Not Applicable because: ❑J Blocks previously installed. Li No outside lights. ❑Other
❑Install new or❑Replace gutters
❑Install new or J Replace downspouts
Other related work being done: (please note) ge,0lact +,l r✓1 arpinoC f Scup LLDOt
Sf ,1Giq house wry. G
Value of the job $ 5-000. 00 (include fair market price for labor even if you are not paying for labor) 03/02