HomeMy WebLinkAbout0151616 - Building (New Home) CITY OF OSHKOSH No 151616
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 27 ALLEN AVE Owner CYPRESS HOMES
Create Date 08/07/2012
Designer
Contractor CYPRESS HOMES
Inspector Tom Spierowski
Category 110-New Single Family
Plan
Type • Building 0 Sign O Canopy O Fence O Raze
Zoning R-1 Class of Const: 8
Size IRRG
Unfinished/Basement 1280 Sq. Ft. Rooms 6 Height 19 Ft. ❑ Projection
Finished/Living 1280 Sq.Ft. Bedrooms 3
_ Stories 1 Canopies
Garage 484 Sq.Ft. Baths 2
Signs
Foundation 0 Poured Concrete O Floating Slab 0 Pier 0 Other
O Concrete Block O Post O Treated Wood
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Required #Dwelling Units 1
#Structures 1
Use/Nature NSFR/New single family home*1 story 2 car attached garage. Patio and driveway are not included on this permit.
of Work
HVAC Contractor BAY AREA SERVICES INC Plumbing Contractor SBS PLUMBING LLC
Electric Contractor SCHMIDT ELECTRIC
Fees: Valuation $110,000.00 Plan Approval $75.00 Permit Fee Paid $493.00 Park Dedication
$200.00
Issued By:
Date 08/09/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1516570000
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 -Ow rstan• 1- afoe• ' . •• '.n.
Signature �NN ` ��' Date 8 - , •
Agent/Owner
Address 1500 W COLLEGE AVE APPLETON WI 54914 - 3041 Telephone Number 707-2002
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.
Wisconsin Department of Industry,
Labor and Human Relations WISCONSIN UNIFORM Application No.
Safety and Buildings Division BUILDING PERMIT 0151616
P.O. Box 2509
Madison,WI 53701-2509 APPLICATION Parcel No.
Wisconsin Statues 101.63, 101.73
a). g' ❑ Constr ❑ HVAC ❑ Elec
❑ Plbg Q Erosion [] Other:
Owner's Name Mailing Address
CYPRESS HOMES 1500 W COLLEGE AVE SUITE A APPLETON WI 54914- 0000 Telephone No.
Contractor: 0 Con/ Elec/ HVAC • Plbg Lic/Cert# Mailing Address
CYPRESS HOMES 6850 1500 W COLLEGE AVE Telephone No.
Dwelling Contr.Qualifier APPLETON WI 54914- 3041 707-2002
Lic/Cert# The Dwelling Contr.Qualifier shall be an owner,CEO,COB or employee of
MICHAEL F BLANK 6851 1 Contr.
Contr.
Contractor:❑ Con 0 Elec❑ HVAC❑ Plbg Lic/Cert# Mailing Address
SCHMIDT ELECTRIC 838 MOAS-wrong address Telephone No.
Contractor: Con Elec HVAC 9 LITTLE CHUTE WI 54140- 0 788-9381
0 / Plbg Lic/Cert# Mailing Address
BAY AREA SERVICES INC 5180 1801 VELP AVE Telephone No.
Contractor:II Con GREEN BAY WI 54303_ 6447 920-435-7111
� Elec� HVAC Q Plbg Lic/Cert# Mailing Address
SBS PLUMBING LLC 665479M-4635 RED FOX RD Telephone No.
OSHKOSH WI 54904- 7784 920-410-5933
e 7® Lot Area S..ft.
Building Address 1/4, 1/4,Section ,T N,R E(or)W
Subdivision Name Lot No. Block No.
27 ALLEN AVE
2
Zoning District(s) Zoning Permit No. Front
Right
-� �m�� ,__��A� ,.���_._ -�u�.�, ��� � �_ �
Q New
❑ Repair 0 Single Family Entrance Panel 2 Forced Air Furnace Natal Oil Elec. Solid Sola
Fuel
❑ Alteration ❑ Raze _ Two Family Size:200 am.❑ Radiant Baseboard or Panel Ga
❑ Addition — Service: ❑ Heat Pump Space Htg Q ❑ ❑ ❑ ❑ ❑
❑ Move ❑ Other(print): ❑ Overhead
❑ Other: Q Underground ❑ Boiler Water Htg Q ❑ ❑ ❑ ❑ ❑
❑ Central Air Conditioning *II Dwelling unit will have 3 kilowatt or
Other
` Z p �..� Q Site Constructed � Concrete more installed electric space heating equip.
` b1 - * Infiltration control option Manufactured ❑ Masonry ptian is:
❑ Sewer ❑ Full sealing
Basement 1280 Sq.ft. ..,� K- u ❑ Treated Wood of joints. ❑ Blower door test. ❑ Exterior
� a Q Municipal air infiltration barrier.
Living Area 1280 Sq.ft. MI 1-Story ❑ Other $.
❑ Septic iTh . .:
Garage 484 Sq.ft ❑ 2-Story ❑ Permit No. Envelope 25104 BTU/HR
❑ Other Seasonal
0 Permanent
Infiltration 15667 BTU/HR
Q Municipal Utility a-,
❑ Other
0 Plus Basement ❑ Private On-Site Well 110000
I 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.I 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 purpose to inspect the work which is being done.
❑I I vouch that I am or will be an owner-occupant of this dwel' g for which I am app/ ing for an erosion control or construction permit without a Dwelling
Contractor Certification and have read t caution r .. contractor espon ' '• on the Building Permit Application.•APPLICANT'S SIGNATURE -...... DATE SIGNED S . Z
APPROVAL CONDITIONS This 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
,
❑ Town ❑ Village 0 City ❑ County ❑ State of: Munici p alit y
iko £x Number of Dwelling Location:
x€ t
CIty Of Oshkosh 7 0 2 6 6
z
a ................ u.. '..2 .g.`a € b.,a <>.,H,. ..��..�...._s � > aG ,., ...... .# .m..ce. ..:.n-'m..0 . , _ .. ws .w ,,....ax . a...ax .
Plan Review $75.00 0 Construction � � � �a
Inspection iii HVAC Name JOHN ZARATE
Wis.Permit Seal ❑ Electrical
$35.00 ❑ Plumbing Date 8/7/2012
Other 0 Erosion
Total $110.00 ❑ 402838 Cert. No. 70330
SBD-5823(R.07/92)