HomeMy WebLinkAbout0156617-Building (roof) � CITY OF OSHKOSH No 156617
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 691 FRANKLIN ST Owner ERIC&JEAN M KIMBER Create Date 07/10/2013
Designer Contractor OWNER
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence 0 Raze
�
Zoning R-2PD Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. � Projection I
Finished/Livin9 Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � 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 .DUPLEX/TEAR OF AND REPLACE EXISTING ROOFING,GUTTERS AND DOWNSPOUTS ON THE DETACHED GARAGE ONLY-
of Work NO STRUCTURAL CHANGES "check#2031
�
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: (� Date 07/10/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0703240000
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 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 ermit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and t secure any ne ssa approvals before starting such activity.
I have read an understand for ntioned information. f
Signature �— I �� � 3
Date
AgenUOwner
Address 691 FRANKLIN ST OSHKOSH WI 54901 - 4340 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 �
In.spection Services Division �
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 (°����
Fax:(920)236-5084 �
Roofing & Siding Permit Appiication �'����`��#�a
• Application(s)and fee(s)can be brought to City Hall,Roo�r►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 vou are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here
if vou want this processed through vour account ❑
.�B�o� �� �r c �n���� �� �S�l�v S� �9� �
o�� Je.L�� ���v.b e� . �r i� 1<<�n10 P_ r
CONTRACTOR
1 am the: L�Owner OR ❑ Contractor
USE CATEGORY
❑Single Family �Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Indusirial :
Work being done:
ROOFING
�Tear off and replace existing roofi�g on�house,I�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
0 Instatl siding on ❑house, �garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(ci�le steel or aluminum)
❑Replacing with
This work is being done due to�Hail Damage ❑Other
When sidmg is done,one of the boaes below must be checked:
1) ❑Electric-Exisking Eledric Meter,receptacle,lighting and Electric Service entrance aiterations/modifications are being performed
bY
(xame o4'L�cemed fitecvic convacror) :
AND LJ Electric Installation Verification form is attachad OR _Separate Elect Permit will be requested.
2) D Electric-Not Applicable because: -J Blocks previously installed. -No outside lights. fl Other
�Install ne;w or�Replace guttets
❑Install nevv or�Replace dovmspouts
Other related work being done: (please note)
Value of the job� ��O (include fair market ptice for labor even if you are not paying fa labor) 03/02