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HomeMy WebLinkAbout0145110-Building CITY OF OSHKOSH No 145110 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1116 TAFT AVE Owner CHADD HUISMAN Create Date 03/08/2011 Designer Contractor HUISMAN HOMES Category 110 - New Single Family Plan Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R -1 Class of Const: 8 Size Unfinished /Basement 1240 Sq. Ft. Rooms 6 Height 20 Ft. ❑ Projection Finished/Living 1240 Sq. Ft. Bedrooms 3 Stories 1 Canopies Garage 576 Sq. Ft. Baths 2 Signs Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other 0 Concrete Block 0 Post 0 Treated Wood Occupancy Permit Required Occupancy Fee $0.00 Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 1 # Structures 1 Use /Nature NSFR/ New single family` Single story, 2 car attached garage and 4' x 8' covered rear porch. of Work HVAC Contractor THOMPSON HEATING AND COOLING SER\ Plumbing Contractor C SWEETING PLUMBING LLC Electric Contractor JK ELECTRIC Fees: Valua onnn,�� $89,793.00 Plan Approval $75.00 Permit Fee Paid $393.00 Park Dedication $200.00 Issued By: J1�""_ Date 03/10/2011 Final /O.P. 00 /00 /0000 ❑ Permit Voided Parcel Id # 1606050000 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 • ■ , = tand a afore mentioned information__. — /'� /� Signatur> 4 , .l„I: Date Cam` Agent/Owner Address 3342 LOUISE CT OSHKOSH WI 54901 - 1407 Telephone Number 426 -1003 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. Q RECORD OSHKOSH PARKLAND DEDICATION FEE COLLECTION ON THE WATER Job Address 1116 TAFT AVE Date 03/10/2011 Name CHADD HUISMAN Address 3366 HARBOR BAY RD Oshkosh WI 54901 Subdivision Lot Building Permit Number 0145110 Number of Dwelling Units 1 Number of Structures 1 Fee Required $200.00 Fee Paid Owner's Signature e Date Inspector's Signature Date OSHKOSH PARKLAND DEDICATION FEE COLLECTION RECORD ON THE WATER Job Address 1116 TAFT AVE Date 03/10/2011 Name CHADD HUISMAN Address 3366 HARBOR BAY RD Oshkosh WI 54901 Subdivision Lot Building Permit Number 0145110 Number of Dwelling Units 1 Number of Structures 1 Fee Required $200.00 Fee Paid Owner's Signature Date Inspector's Signature Date Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0145110 P.O. Box 2509 APPLICATION Parcel No. Madison, WI 53701 -2509 Wisconsin Statues 101.63, 101.73 ��♦ PERMI ' R 4 r" 'E ■ ❑ Constr ❑ HVAC ❑ Elec ❑ Plbg ® Erosion ❑ Other: Owner's Name Mailing Address Telephone No. CHADD HUISMAN 3366 HARBOR BAY RD Oshkosh WI 54901 - 0000 Contractor IN Conti EIecU HVAC U Plbg Lic/Cert # Mailing Address Telephone No. HUISMAN HOMES 901215 3342 LOUISE CT OSHKOSH WI 54901 - 1407 426 -1003 Dwelling Contr. Qualifier Lic/Cert # The Dwelling Contr. Qualifier shall be an owner, CEO, COB or employee of Chadd Huisman 901216 Dwelling Contr. Contractor: ❑ Con ® Elec ❑ HVAC❑ Plbg LiGCert # Mailing Address Telephone No. JK ELECTRIC 160214 E9102 MANSKE RD NEW LONDON WI 54961 - 8938 (920) 982 -7848 Contractor: U Con U Elec IM HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No. HOMPSON HEATING AND COOLING SERVICE 921596 901 OTTER AVE OSHKOSH WI 54901 _ 5444 920 -426 -3095 Contractor: U Con ❑ Elec ❑ HVAC.® Plbg Lic/Cert # Mailing Address Telephone No. C SWEETING PLUMBING LLC 673251M 1583 COUNTRY MEADOW CT OSHKOSH wi 54904 - 9316 920 - 410 -4017 • 11 ` °' - Lot Area ♦ '� Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 1116 TAFT AVE Zoning District(s) Zoning Permit No. Front Rear Left Right i 1 i ■ :PROJ ' ���� ♦��i�i1 'a• z' i L.:,4:: ' HVAC EQUIPMENT . �J; i -St 1 i4i_i�w� i ►,4 New ❑ Repair ►1 Single Family Entrance Panel e Forced Air Furnace Nat.l Oil Elec. Solid Sola ❑ Alteration Two Family Size: 200 am. ❑ Radiant Baseboard or Panel Fuel ❑ Raze — Ga- e ❑ Addition Garage Service: ❑ Heat Pump Space Htg ® ❑ ❑ ❑ ❑ ❑ ❑ Move ❑ Other (print): ❑ Overhead Water Htg Underground ❑ Boiler 9 ® ❑ ❑ ❑ ❑ ❑ ❑ Other: ® Central Air Conditioning * U Dwelling unit will have 3 kilowatt or :4 ON - " Ti FUND ' e Other , more installed electric space heating equip. r �: 12 Concrete fi ,AIREJIFI�VQII ® Site Constructed lBff!IG"" ♦ Infiltration control option is: ❑ Full sealing ❑ mason"' ry Unfinished ❑ Sewer of joints. ❑Blower door test. 0 Exterior Basement 1240 Sq. ft. ' * 'IQRIE ' ; ,.. _ ❑Treated Wood 0 Municipal air infiltration barrier. ►T4 1-Story • Other .1 Lfl : - fcuf: ': . rr 1 Living Area 1240 Sq. ft. ry , 6 SE � IL ,, , ❑Septic ;, 12 2 -Story Perm No. Envelope20282 BTU /HR Garage 576 Sq, ft, ❑ Seasonal t , „ � ♦ � Infi ltration 15092 BTU/HR BTU / ❑ Other El Permanent #' . 'i _ ���� ® Municipal Utility . : ' I =ill :, . . , T ;, : :: .. ® Plus Basement ❑ Other ❑ Private On -Site Well 121000 1 agree to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understand that the issuance of the permit creates no legal liability, express or implied, on the state or municipality; and certify that all the above information is accurate. If one acre or more soil will be disturbeb, I understand that this project is subject to ch.NR 151 regarding additional erosion control and stormwater management. 1 expressly grant the building inspector, or the inspector's authorized agent, permission to enter the premises for which this permit is sought at all reasonable hours and for any proper purposee to inspect the work which is being done. I vouch that I am or will be an owner -occup - t of this dwelling for which I am applying for an erosion control or construction permit without a Dwelling Contractor Certification and have read the ca • ` ry stat - n regarding contractor responsibility on the Building Permit Application. APPLICANT'S SIGNATURE ` ; i, 7` DATE SIGNED 3 O -1 APPROVAL CONDITIONS his permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty See ATTACHED "STANDARD CONDITIONS OF APPROVAL" sheet. ?S)CX ♦ 4►� ♦ ❑Town ❑ Village 111 City 0 County 0 State of: Municipality Number of Dwelling Location: ♦♦ ♦♦ i _ m I I City Of Oshkosh 7 0 - 2 6 6 � i�i� i♦ i i ii ii�i ♦i�iiii " � ♦ " ♦�+ ii � ♦' � "' i"' �' 9► r"" ♦"'♦ �ii�' ♦' "lry i i�7iy�� i ♦ i ter -i��-----ii! !i ?i! ♦ ♦ i2���"�!�!�!i!i!i�i� ♦ ��i!�2i!i ?�!� • i�i � ♦! .�. ♦ ♦ � a�.�!� � ♦ i!4► .�.�!i ?i! ♦ � �! ��!i2i��i��!�!i!i!i! ♦ 'a������� ! Plan Review $75.00 ►�4 Construction Inspection ❑ HVAC Name John Zarate R Electrical Wis. Permit Seal $35.00 Plumbing Date 3/8/2011 Other ® Erosion Total $110.00 ❑ 381734 Cert. No. 70330 SBD -5823 (R. 07/92) 1r / . Soot 1 f 1 I 1 1 i i - 4' -to" 3 3 '- 0" 1 i " I i I f t i j 3 3 ' -0" I I \ 2 S'- 3' t, 7 ' g'z I I # I t i i 1 k i s � { 17_33 Sa f-. I I i 5 : t i I ' k I i I 1 — 1 \'''''‘ i i F ; 1 I N GAUA4E ' i I t 0 I I A Fr A\1.