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Home My WebLink About0154321-Building No 154321 556.92 � CITY OF OSHKOSH -- OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 11 ALLEN AVE Owner CYPRESS HOMES INC Create Date 01/22/2013 Designer Contractor CYPRESS HOMES Inspector John Zarate Category 110-New Single Family Plan UDC-3695-0113 Type � Building � Sign � Canopy ___ � Fence � Raze J Zoning __ Class of Const: 8 Size Unfinished/Basement 1330 Sq.Ft. Rooms 6 Height 20 Ft. ❑ Projection �i Finished/Living 1280 Sq.Ft. Bedrooms 3 Stories 1 Canopies Garage 484 Sq.Ft. Baths 2 Signs Foundation � Poured Concrete � Floating Slab � Pier � Other � Concrete Block � Post � 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 INSFD/New single family*1 story,2 car attached garage. No deck or patio included with this permit. of Work i i I i ' I � � I HVAC Contractor BAYAREASERVICES INC Plumbing Contractor SBS PLUMBING LLC Electric Contractor SCHMIT ELECTRIC LLC Fees: Valuation $116,846.00 Plan Approval $75.00 Permit Fee Paid $631.92 Park Dedication $200.00 Issued By: �lil Date 02/01/2013 Final/O.P. 00/00/0000 ❑ Permit Voided I Parcel Id# 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 derstan e afore ioned information. Signature Date Z, • ` ' � 3 r AgenUOwner Address 1500 W COLLEGEAVE APP�ETON 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, WISCONSIN UNIFORM Application Na Labor and Human Relations : Safety and Buildings Division BUILDING PERMIT 0154321 : P.O. Box 2509 APPLICATION Parcel Na Madison;WI 53701-2509 Wisconsin Statues 101.63, 101.73 �=a��'_� ��+ �ED° �� ❑ Constr � HVAC ❑ Elec � Plbg �✓ Erosion ❑ Other. �� Owner's Name Mailing Address Telephone No. CYPRESS HOMES INC 1500 W COLLEGE AVE APPLETON WI 54914- 0000 Contractor: ✓ Con Elec HVAC Plbg LiGCert# Mailing Address Telephone No. CYPRESS HOMES 6850 1500 W COLLEGE AVE APPLETON WI 54914- 3041 707-2002 Dwelling Contr.Qualifier LidCert# The Dwelling Contr.Qualifier shall be an owner,CEO,COB or employee of MICHAEL F BLANK 6851 Dwelling Contc Contractor:� Con 0✓ Elec� HVAC❑ Pibg LiGCert# Mailing Address Telephone No. SCHMIT ELECTRIC LLC 171258 W2695 EVERGREEN DR KAUKAUNA WI 54130- 9325 (920)687-0700 Contractor: Con Elec ✓ HVAC Plbg Lic/Cert# Mailing Address Telephone No. . BAYAREASERVICES INC 5180 1801 VELPAVE GREEN BAY WI 54303_ 6447 920-435-7111 Contractor. Con Elec HVAC ✓ Pibg Lic/Cert# Mailing Address Telephone No. SBS PLUMBING LLC 665479M 4635 RED FOX RD OSHKOSH W� 54904- 7784 g20-410-5933 �'`,��RO.�E��'�;�Q{,�s ��N� = LotArea S .ft. 1/4, 1/4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 11 ALLEN AVE 2 Zoning District(s) Zoning Permit No. Front Rear Left Right ,�'fi'PRO:lEC ,o . :O`GG F�ANCY�., 6:.EL�CTRICA�� 9.HVAC"EQUIPMENT�;.`:;, T � 1`3«=ENERGY.SOURCE n��'%� i ' °�° ' ✓ New � Repair ✓ Single Family Entrance Panel ✓ Forced Air Furnace Nat. L.P. Oil Elec. Solid Sola ❑ Alteration Two Family Size:200 am ❑ Radiant Baseboard or Panel Fuel Gas * � Raze ❑ Addition 8 Garage Service: � Heat Pump Space Htg ❑✓ ❑ ❑ ❑ ❑ ❑ � Move � Other(print): � Overhead � goiler Water Htg ❑✓ ❑ ❑ ❑ � � �✓ Underground ❑ Other: �✓ Central Air Conddioning * Dwelling unit will have 3 kilowatt or 4.�CQNST�PE,_� � ��NDA,tA,ON,s� Other more installed electric space heating equip. .2�AREA�IN�/.QL�f�t�,= , � ✓ Site Constructed � Concrete *' ❑ ��.Q:PLU�IABING�� ,R'��''�, � � Infiltration control option is:❑ Full sealing � Unfinished ❑ Manufactured ❑ Masonry � Treated Wood Sewer of joints. ❑ Blower door test. ❑ Exterior Basement 1330 Sq.ft. �$�p�� ✓ Municipal air infiltration barrier ✓ 1-Sto � ❑ Other �� , �- Living Area 1280 Sq.ft. ry # . ❑ Septic 3:HEA??`�LCaSS�`Ca�C�ilated .� �^. -� 8:USE}a, � ��' ❑ 2-Story Permit No. Envelope24778 BTU/HR � Garage 484 Sq.ft. � Other ❑ Seasonal ��11rWATER��v. �� Infiltration 15667 BTU/HR �✓ Permanent � Municipal Utility * 4 �t4:EST.>BUILQING GOST'' ':;`'.�`�,''�`-�'�;; �✓ Plus Basement ❑ Other � private On-Site Well 132900 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 iegal 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 vouch that I am or will be an owner-occupant of thi dwelling for which I am applying for an erosion control or construction permit without a Dwelling Contractor Certification and have read utio tm arding sponsibility on the Building Permit Application. ' APPLICANT'S SIGNATUR� DATE SIGNED �' � � � 3 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 signed and dated"Standard Conditions of Approval"sheet � yt ❑ Town � Village ❑✓ City � County ❑ State of: Municipality Number of Dwelling Location: ``�sS�U��': r� �.IURI �?t:� � � City Of Oshkosh 7 0 - 2 6 6 ',�` �, � - � _. . . _ � � � � .. �� m �� = � : , �, � _ , . . _� � � ,� . _ p�, , ��, - , � y� � � � � N � . � z �, � . � ,�� Plan Review $75.00 `� Construction � HVAC Name John Zarate Inspection -- ----- —--- ❑ Electrical Wis.Permit Seal $35.00 � plumbing Date 1/22/2013 —__--- --- - — Other �✓ Erosion Total $110.00 ❑ 425870 Cert. No. 70330 SBD-5823(R.07/92)