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Home My WebLink About0099250-BuildingOSHKOSH ON THE WATER Job Address Designer Category Type 620 BROAD ST 110 - New Single Family CITY Oi;' OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD Owner HABITAT FOR HUMANITY Contractor HABITAT FOR HUMANITY Building O Sign (~ Canopy O Fence O Raze No 0099250 Create Date 11/26/2002 Plan D1-172-1102R Zoning R-2 Class of Const: 8 Unfinished/Basement 0 Sq. Ft. Rooms 3 Finished/Living 924 Sq, Ft. Bedrooms 2 Garage 0 Sq. Ft. Baths 1 Foundation ~1~ Poured Concrete (~ Floating Slab (~ Pier ~) Concrete Block (~ Post (~ Treated Wood Occupancy Permit Required Flood Plain No Park Dedication Not Required # Dwelling Units 1 Height Stories 1 15 Ft. Other Height Permit Not Required # Structures 1 Size IRR [] Projection Canopies Signs Use/Nature ',ISFR/1 story home with a 20'x2.0' uncovered parking area and a shared driveway. Code compliant parking shall be provided per the of Work 2ning administrator. HVAC Contractor STEINBRUNER HEATING & COOLING Electric Contractor ARROW ELECTRIC OF OSHKOSH Fees: Valuation $40,000.00 Plan Approval Issued By: (~ Plumbing Contractor DRUCKS PLUMBING $75.00 Permit Fee Paid [] Permit Voided J $200.00 Park Dedication $0.00 Date 12/31/2002 Final/O.P. 00/00/0000 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address PO BOX 1021 OSHKOSH WI 54903 - 1021 Telephone Number 235-6834; 235-3535 OSHKOSH ON THE WATER Job Address Designer Category 620 BROAD ST 110 - New Single Family CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner HABITAT FOR HUMANITY Contractor HABITAT FOR HUMANITY Type · Building (~) Sign (~) Canopy (~) Fence (~) Raze No 0099250 Create Date 11/26/2002 Plan D1-172-1102R Zoning R-2 Class of Const: 8 Unfinished/Basement 0 Sq. Ft. Rooms 3 Finished/Living 924 Sq. Ft. Bedrooms 2 Garage 0 Sq. Ft. Baths 1 Foundation · Poured Concrete (~) Floating Slab (~ Pier (~ Concrete Block (~ Post (~ Treated Wood Occupancy Permit Required Flood Plain No Park Dedication Required # Dwelling Units Height Stories 1 15 Ft. Other Height Permit Not Required # Structures 1 Size IRR [] Projection Canopies Signs Use/Nature NSFR/1 story home with a 20'x20' uncovered parking area and a shared driveway. Code compliant parking shall be provided per the of Work zoning administrator. HVAC Contractor STEINBRUNER HEATING & COOLING Plumbing Contractor DRUCKS PLUMBING Electric Contractor ARROW ELECTRIC OF OSHKOSH Fees: Valuation $40,000.00 Plan Approval $75.00 Permit Fee Paid $200.00 Park Dedication $10b:00 Issued By: (~"~ Date 12/31/2002 FinallO.P. 00/00/0000 [] Permit Voided In the performance of tbis~Work I agree to perform a~work pursuant to rules governing the described construction. Signature ~ ~-'~~///-~ _~--~/~-~1~/'' -/// ~/~ Date Agent/Owner Address PO BOX 1021 OSHKOSH WI 54903 - 1021 Telephone Number 235-6834;235-3535 OSHKOSH ON THE WATER GRADE STAKE FORM Name HABITAT FOR HUMANITY Address 620 BROAD ST Lot Block Subdivision Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 12/04/2002 Set By D.W.G. Grade Stake Number 6859 Create Date 12/03/2002 Ward Sidewalk Existing J Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the grade.established before excavation has commenced. Wisconsin Department of Industry, Labor and Human Relations Safety and Buildings Division P.O. Box 2509 Madison, WI 53701-2509 Wisconsin Statues 101.63, 101.73 [] Constr Owner's Name HABITAT FOR HUMANITY Contractor: L~J conE~ Elecl~ HVAC ~ Plbg HABITAT FOR HUMANITY Contractor: [_.J Con L~J ElecU HVACLJ Plbg ARROW ELECTRIC OF OSHKOSH Contractor: L_J Con L_J Elecb~ HVAC [] Plbg STEINBRUNER HEATING & COOLING Contractor: L~ Con [] Elec[~ HVAC[] Plbg DRUCKS PLUMBING Lot Area Building Address 620 BROAD ST District(s) Permit No. WISCONSIN UNIFORM Application NO. BUILDING PERMIT 0099250 APPLICATION Parce No. [] HVAC [] Elec [] Plbg [] Erosion [] Other: Mailing Address Telephone No. 1218 B HIGH STREET Oshkosh WI 54901 - 0000 235-3535 Lic/Cert # Mailing Address !Telephone No. 17777 PO BOX 1021 OSHKOSH WI 54903 - 1021 235-6834; 235-,'. Lic/Cert # Mailing Address Telephone No. M2013 P O BOX 3960 - 280 E FERNAU AVE OSHKOSH WI 54903 - 3960 (920) 426-4252 Lic/Cert # Mailing Address Telephone No. 12627 600 OREGON STREET OSHKOSH WI 54902 - 0 (920) 426-1830 Lic/Cert # Mailing Address Telephone No. PO BOX 355 MENASHA - WI 54952 - 0 426-2654 Sq. ft. 1/4, 1/4,Section ,T Subdivision Name Lot No. N,R Block No. Front Rear Left Right New [] Repair [] Alteration [] Raze [] Addition [] Move [] Other: Unfinished Basement 0 Sq. ft. Living Area 924 Sq. ft. Garage 0 Sq. ft. Single Family Two Family Garage [] Other (print): [] Site Constructed [] Manufactured I¢1 1-Story [] 2-Story [] Other [] Plus Basement Entrance Panel Size: 100 am Service: [] Overhead [] Underground [] Masonry [] Treated Wood [] Other [] Seasonal [] Permanent [] Other Forced Air Furnace [] Radiant Baseboard or Panel [] Heat Pump [] Boiler ~[] Central Air Conditioning Sewer [] Municipal [] Septic Permit No. [] Municipal Utility [] Private On-Site Well Fuel Space Htg Water Htg * L_J Dwelling unit will have 3 kilowatt or more installed electric space heating equip. Infiltration control option is: [] Full sealing of joints. [] Blower door test. [] Exterior air infiltration barrier. Envelope 21747 BTU/HR Infiltration 5655 BTU/HR $55,0O0.0O The applicant agrees to comply with all applica, j¢,~ codes, st~ues and ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, express/~ infplie~, on/t~ Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE )4_ c~.~_~,~4.~¢~,~,¢.~, DATE SIGNED )(,/2 -.¢/. 2.<~-z.-- This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or APPROVAL CONDITIONS revocation of this permit or other penalty see standard conditions of approval@@@@NOTE: The foundation foam is required to extend to the top of the foundation wall. [] Town [] Village [] City [] County L_J State of: Municipality Number of Dwelling Location: CityOf Oshkosh 7 0 - 2 6 6 Plan Review $75.00 Construction HVAC Name Nicole Krahn Inspection Electrical Wis. Permit Seal $30.00 [] Plumbing Date 1 1/26/2002 Other [] Erosion Total $105.00 [] 275774 Cert. No. 248101 SBD-5823 (R. 07/92) Habitat Fo~ Humanity Ppopos~cl building ~oP 6~0 B~o~cl St~t $cole: 2': ~0 feet 166'-0" 42'-0" Shared driveway shown bY broken line. { I parking - 22'-0" t Adjacent Lot I I 10'-0" t 1 I . I 1 I I I I I I I Broad Street