HomeMy WebLinkAbout0157432-Building (entry platform & siding) � CITY OF OSHKOSH No 157432
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1330 NATIONAL AVE Owner ROBERT B/SUSAN T KILDAY Create Date 08/26/2013
Designer Contractor OWNER
Inspector John Zarate
Category 042-Residential Siding Plan
Type � Building � Sign � Canopy � Fence 0 Raze _�
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection i
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Install one 4ft by 6ft entry platform in the front yard and one 5ft by 4ft entry platform in the side yard per site plan submitted. Install
of Work siding on house garage. Replace(1)window in existing opening. Replace(1)front dooe moving door over 2".
�*'ck#4218"
i
I
HVAC Contractor Plumbing Contractor
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $8,500.00 Plan Approval $0.00 Permit Fee Paid $118.00 Park Dedication $0.00
Issued By: �� Date 08/26/2013 Final/O.P. 00/00/0000
� Permit Voided I Parcel Id#0608860000 :
Cautionarv Statement to Owners Obtaininq 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 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 an information.
Signature Date� � �
g nUOwner
Address 1330 NATIONAL AVE OSH WI 54902 - 5655 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 othenrvise,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
Phone:(920)236-5050 �K 1H
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 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
i,[vou want this processed through vour account n
JOB ADDRESS I 3 3D �C.s-�l�� lAl�?�. ��� � L.s�( �+-QO c�
OWNER ����('� ��j G c�1,lSC�� � /�-t ICJIGI �-t
CONTRACTOR ����
I am the: fX�Owner 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 O house,�garage
This work is being done due to�Hail Damage ❑Other
SIDING
,@i�Install siding on f�house, �gazage ���
❑Replacing vinyl with vinyl �`O�'�� � (sy CJ "-'
�_,,.�.,w�
�Replacing steel luminum ith vinyl(circle steel or aluminum)
g1 Replacing L�L�C� �� with C� 1 v��.r �
This work is being done due to 0 Hail Damage ;�)Other��Tb�2�;� Cc L.�-¢_.�_� �� c�s�,�
�..
When siding is done,one of the bozes below must be checked:
1) L�Elec �c-E�isting Electric M�eceG acle,lighting and Electric Service entrance alterations/modifications are being performed
�
� �
(Name of Licensed E c�ntractor)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric-Not Applicable because: �J Blocks previously installed. 0 No outside lights. ❑Other
❑Install new or O Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ �F�-�. (include fair market price for labar even if you are not paying for labor) 03/02
� �1 POBox 1130
I�it'�f Oslld�S� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application ����.oshkosh.�.us
Project r
Address 3� Y1/�Q� � 5 � qo a
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name�[�Q,l'�� � � �I�ISGcc't � �i �vlC,t v Phone ��CJ �3'� ( Cv��
Tenant
Address I 33U V��1[.N�C� (�c�u Email SvSccnr��
Contractor Company Name Phone
Contact Email
Address
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration�
Project �C�CLC�r�i D�.��-���q 3� �C 3 ����db�
Description
��P-�-t�-�-�rv �r�- ��r - ��-�- a�� -�-� t-'�c,i-�-� .
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Mechanical Separate permits will be obtained for the following:
Permits Electrical b Plumbing by Heating by
Value of Job �� ue for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
�.,
ment by: Check # Cash Permit Fee Account
I certify the above injormation is complete and accurate. Any deviarions from the above submitted injormarion may require additional permit.r
to be obtained. I acknowledge and agree to these terms.
Name: (Please print) Date:
Signature: