HomeMy WebLinkAbout0154217 - Building (blown attic insulation) CITY OF OSHKOSH No 154217
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2003 WILSON AVE Owner DANIELA/TAMMY L ULBING Create Date 01/18/2013
Designer Contractor FFD NATIONAL LLC
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type • Building O Sign O Canopy O Fence 0 Raze
Zoning R-1 Class of Const: _ Size
Unfinished/Basement Sq. Ft. Rooms Height Ft. ❑ Projection
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs -
Foundation • Poured Concrete 0 Floating Slab O Pier O Other
0 Concrete Block O Post O Treated Wood
-
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/INSTALL BLOWN ATTIC INSULATION-NO STRUCTURAL CHANGES "check#109344
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,660.00 Plan Approval $0.00 Permit Fee Paid $44.00 Park Dedication $0.00
Issued By:anl.A.--) Date 01/18/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1212230000
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 and understand the afore mentioned information.
Signature Date
Agent/Owner
Address 1125 TUCKAWAY LN STE C MENASHA WI 54952 - 1776 Telephone Number (920)968-1480
* 140-Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500-113 on the DNR
Asbestos Program website; http://dnr.wi.gov/air/compenf/asbestos/.For additional information on hazards present in buildings see
the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf
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.
CITY OF OSHKOSH BUILDING PERMIT APPLICATION
For 1 and 2 Family Homes T126'40003
Owner's Name Nailing Address Phone No.
�cLmm �in �D �>c 13� pro iSv,lle WI 53 4ao) gaiJ 0395
Contractor's Name: Mailing Address Memsju,fa Lic/Cert# Phone No.
FKAtati da5hrTtattoJay bit.Wit=t 511951. ligo4W_ (q3-d 914. /'/
Plumbing Contractor's Name: Mailing Address Lic/Cert# hone No
Electrical Cont tor's Name: Mailing Address Lic/C # Phone N .
( )
HVAC Contractor's Nam Mailing Address Lic/Cert# hone No.
PROJECT LOCATION
Build Addres Subdivision Name Lot No.
i 0003 W IISOn 41/t-
Zoning District Setbacks: Front Rear Left Right
ft. ft. ft. ft.
PROJECT INFORMATION
OCCUPANCY AREA CONST.TYPE STORIES NUMBER OF
❑Single Family Unfinished Basement sq.ft. 1 Site Constructed ROOMS
Two Family E Manufactured I 1-Story — Bathrooms
L Other Living Area sq.ft. ❑2-Story
FOUNDATION Bi-level _ Bedrooms
USE Garage sq.ft.USE Concrete r Tri-level
Quad-level Remaining
Masonry Finished Rooms
I Seasonal rY
C Permanent HEIGHT C Treated Wood Other
C Other Height of the Structure(from final grade to the peak r Other
of the roof)
ELECTRICAL PLUMBING WATER BUILDING COST S
Panel Size: Sewer Sale Price of the Project $ /6 !;d
C 100 Amps =Municipal C Municipal Utility (Final cost of house,lot&labor)
❑200 Amps 1 Septic r Private On-Site Well MINUS
Service: Permit No.
Underground The Cost of the Lot $
Overhead MINUS -
HEAT LOSS The Cost of the Mechanicals $
Envelope Btu/Hr EQUALS = / —
The Cost of Construction $ /(D
Infiltration
" Btu/Hr (Fair market value which includes labor)
ENERGY SOURCE HVAC EQUIPMENT
1 Forced Air Furnace
Choices: Natural Gas,L.P.,Oil,Elec,Solid,Solar ❑Radiant Baseboard or Panel
EL Heat Pump
Space Htg -Boiler
Central Air Conditioning
Water Htg EL Other
APPLICANTS SIGN/•/: rn i 1a ) Fiv ./�L) DATE: /.....//-/3
V & 1�SaieLb�h 05/05