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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)