HomeMy WebLinkAbout0156847-Building (roof) � CITY OF OSHKOSH No 156847
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 638 MONROE ST _ __ Owner PEGGY A FAUL Create Date 07/23/2013
Designer Contractor OWNER
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence 0 Raze
2oning R-2 Class of Const: giZe I
Unfinished/Basement Sq.Ft. Rooms Height Ft. � Projection �
Finished/Living Sq.Ft. Bedrooms Stories _ Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier 0 Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR1 Roofing house and garage-full tear off and reroof
of Work
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: Date 07/23/2013 Final/O.P. 00/00/0000
❑ Permit Voided j Parcel Id#0406080000
Cautionarv Statement to Owners Obtaininq Buildinp 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:
�f 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 t cure any necessary approvals before starting such activity.
I have read an u derstand th aforementioned information.
Signature �/►ti./ �..�—a��
Date
AgenUOwner
Address 638 MONROE ST OSHKOSH WI 54901 - 4647 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.
Permit App Roofing and Siding Page 1 of 2
City of Oshkosh
Inspection Services Division C��Y�
P O Boz 1130 ��
Oshkosh,WI 54903-ll30 �,f HK�.IH
Phone:(920)236-5050
Fax:(920)236-5084
QN 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.
If ou are a contractor artici atin in the Permit Fee Account S stem and have ade uate
funds, type YES if you want this processed throvqh your account
JOB ADDRESS � Lp�g ✓}'�O12Y1� 0�2 � (JSLc..�b.S�2, (.2,7/ s��QO J I
OWNER� Q�1Q U w-►�Den 0 r ��l E !�C�[e ( � :
CONTRACTOR j ��� D�y��U� ��� �c.Q.nG�
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I am the: �Owner OR ❑ Contractor
USE CATEGORY
� Single Family �Duplex �Multi-Family �Rental �Commercial C Industrial
Work being done:
ROOFING
It�' Tear off and replace existing roofmg on � house, � garage
u Replace wood decking
❑ Add 1 layer of roofing to the existing� I layer(s)on � house, � garage
This work is being done due to ❑ Hail Damage Other,
SIDING
❑ Install siding on � house, 0 garage
' Replacing vinyl with vinyl
❑ Replacing(�i steel or � aluminum)with vinyl
Replacing�� �with �
This work is being done due to ❑ Hail Damage ❑ Other I -�
When siding is done, one of the boxes below must be checked:
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1) �� Electric—Existin Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed by
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j ;(Name of Licensed Electric Contractor)
Permits requiring an Electric Installation Verification form can not be processed by e-mail since both the
application and EIV form must be submitted together. You may print these forms and submit them together
by coming to our office, mailing them or faxing them together at 236-5084.
2) ❑ Electric—Not Applicable because: � J Blocks previously installed. � No outside lights.
Othe� i
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Permit App Roofing and Siding Page 2 of 2
J Install new or ❑ Replace gutters
❑ Instali new or❑ Repiace downspouts
Other related work being done: (please note)
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Value of the job $��f� �include fair market price for labor even if you are not paying for labor)
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