HomeMy WebLinkAbout0156172-Building (roof) � CITY OF OSHKOSH No �5s1�2
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 38 FRANKFORT ST Owner GERALD W GIALDELLA Create Date O6/13/2013
Designer Contractor OWNER
Inspector Andrew Prickett
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze �
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection j
Finished/Living Sq.Ft. Bedrooms Stories Canopies
: Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab 0 Pier � Other
� Concrete Block � Post 0 Treated Wood —
Occupancy Permit Not Required Occupancy Fee $0.00 Fiood Plain Height Permit Not Required
Park Dedication Not Required #Dweiling Units 0 #Structures 0
Use/Nature SFR/Tear off and replace existing roofing on house and garage. No structural changes. I
of Work
�
i
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,900.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: Date O6/13/2013 Final/O.P. 00/00/0000
� Permit Voided�i Parcel Id#0804180000
Cautionarv Statement to Owners Obtaininp Buildinq 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 pertormed 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 rstand t e afore ntion d i o ion.
Signature �T��� Date G -1,� •�.S� s
AgenUOwner
Address 123 GANT RD SHELBYVILLE TN 37160 - 6402 Telephone Number 93��do�ao7o%
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.
Crty of Oshkosh �
Inspection Sen-ices Dn•isioa
P O Box 1130 �
Oshkosh,VVI 54903-1130
Phone:(920)236-5050 �j��
Fax:(920)236-5084 ��
ON THF WATFR �
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 R'I 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal petmit fee,which ever is greater.
OR
If}•ot� are a co»tractor participating in the Permit,�ee Account S}'stem and hare ade_guate funds check here
if�ou u•ant this processed through�our account (1
JOB ADDRESS �� ���Tj ���Q �� J� � ��1�k a 5 h _ � �
O�VNER �Lr'�1, Cl � 1 C� 1 �2�� q
CONI'RACTOR
I am the: �-Owner OR ❑Contractor
tiSE CATEGORY
�Single Family ❑Duplex O Multi-Family ❑Renta( ❑Commercial ❑Industrial
Work being done:
ROOFING
(�l Tear off and replace existing roofing on�house.�!gazage
❑Rtplace«�ood decking
❑Add 1 layer of roofing to the rusting--_____..._..._.__._.____,_____._____1aYc�{s)on❑housc,❑ arage , `
Tlus�vork is being done duc to 0 Hail Damage �Other_'Y'_A_�.��5�'�- E'�� ��1� � �
SIDING '
❑Install siding on ❑housc. ❑garage
❑Replacing�i�+l«ith�•inyl
❑Replacing steel or aluminum�ti7th�-i�l(circle steel ar alumimim)
❑Replacing nith
This work is being done due to�Hail Damage ❑Other
When siding is done,one of the boges below must be checked:
I) ❑Electric–Existing Electric Meter,receptacle,lightint:and Electric Sen-ice entrauce alterations modifications are being perfont►ed
bY
(�ame of Lianxd E ledxic Contrador)
AND Electric Installation Verification frnm is attached OR Separate Elect Permit�titill be requested.
2) 0 Electric–Not Applicable because: J Blocks pre�iously installed. No outside lights. Other
❑Install ne��-or�Replace gutters
❑Install ne�i or O Replace do�tinspouts
Other related work being done: (please note)
� p �
V alue of the job $ 3/ �� —� (include fair market price for labor eti-en if you are not paying for labor) 03 02