HomeMy WebLinkAbout0154830-Building � CITY OF OSHKOSH No 154830
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OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 560 FARMINGTON AVE Owner CHADD HUISMAN Create Date 03/22/2013
Designer Contractor HUISMAN HOMES
Inspector Nicole Krahn
Category 110-New Single Family Plan UDC-3722-0313
Type � Building � Sign � Canopy � Fence � Raze 'I
Zoning R-1 ___ Class of Const: 8 Size IRR
Unfinished/Basement 1273 Sq.Ft. Rooms 3 Height 22 Ft. ❑ Projection ',
Finished/Living 1349 Sq. Ft. Bedrooms 3 Stories 1 Canopies
Garage 576 Sq.Ft. Baths _ 2 Signs
Foundation � Poured Concrete 0 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 �iNSFR/1 story home with a 2 car attached garage and driveway. This permit does not include any decks or patios.
of Work I
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HVAC Contractor THOMPSON HEATING AND COOLING SER\ Plumbing Contractor C SWEETING PLUMBING LLC
Electric Contractor JK ELECTRIC
Fees: Valuation $117,300.00 Plan Approval $75.00 Permit Fee Paid $650.64 Park Dedication $200.00
Issued By: �L'�— Date 03/25/2013 Final/O.P. 00/00/0000
❑ Permit Voided 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 secur�ny necessary approvals before starting such activity.
I have read and undersk�nd the afore mentioned information.
Signature � Date
AgenUOwner
Address 3366 HARBOR BAY RD _ OSHKOSH WI 54901_- 1405 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.
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0154830
P.o. soX 25os APPLICATION Parcel No.
Madison,WI 53701-2509
Wisconsin Statues 101.63, 101.73
'PERMIT REQUESTED ❑ Constr ❑ HVAC ❑ Elec � Plbg �✓ Erosion ❑ Other:
Owner's Name Mailing Address Telephone No.
CHADD HUISMAN Oshkosh WI 54901 - 0000
Contractor: ✓ Con Elec HVAC Plbg LiGCert# Mailing Address Telephone No.
HUISMAN HOMES 901215 3366 HARBOR BAY RD OSHKOSH WI 54901 - 1405 426-1003
Dwelling Contr.Qualifier LiGCert# 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 - $93$ (920)982-7848
Contractor: Con Elec ✓ HVAC Pibg LiGCert# Mailing Address Telephone No.
HOMPSON HEATING AND COOLING SERVICE 921596 901 OTTER AVE OSHKOSH WI 54901 _ 5444 g20-4263095
Contractor: Con Elec HVAC ✓ Plbg LiGCert# Mailing Address Telephone No.
C SWEETING PLUMBING LLC 673251M 1583 COUNTRY MEADOW CT OSHKOSH WI 54904- 9316 g20-410-4017
: PROJECT LOCATION ; �ot,4rea S � ��a, 1/4,Section ,T N,R E(or)w
Building Address Subdivision Name Lot No. Block No.
560 FARMINGTON AVE
Zoning District(s) Zoning Permit No. Front Rear Left Right
1.PROJECT 3.OCGUPANCY B.fLECTRtGAL 9.MYAC;EQUIPMENT '�2.ENERGY SOURCE -
✓ New � Repair ✓ Single Family Entrance Panel ✓ Forced Air Furnace Nat. L.P. Oil Elea Solid Sola '
� Alteration Two Family Size:200 am ❑ Radiant Baseboard or Panel Fuel Ga *
� Raze B Gara e
❑ Addition 9 Service: � Heat Pump Space Htg ❑ ❑ ❑ ❑ ❑ ❑
� Move � Other(print): ❑ Overhead � goiler Water Htg ❑ ❑ ❑ ❑ ❑ ❑
� Other: ❑✓ Underground � Central Air Conditioning Dwelling unit will have 3 kilowatt or
4s G�NST.IYPE I.F4UNRATION ° Other more installed electric space heating equip.
2.ARFr4INVOL1/ED �✓ Site Constructed `� Concrete ��,p�����N� �,{; �€,`�,;* Infiltration control option is:❑� Full sealing
Manufactured ❑ Masonry
Unfinished ❑ Sewer of joints. ❑ Blower door test. ❑ Exterior
Basement 1273 S ft. ❑ Treated Wood
4 .STORIES � Municipal air infiltration barrier.
✓ 1-Sto ❑ Other Se Uc "13.'HEATLQSS :Galculated
Living Area 1349 Sq.ft. ry 8,llSE � p
❑ 2-Story ' Permit No. Envelope42288 BTU/HR
Garage ___ 5�6 Sq.ft. � Seasonal BTU/HR
❑ Other 1'[.WATER Infikration 15692
�✓ Permanent � Municipal Utility 14.EST.Bt1iLD1NG Ct}ST
� Plus Basement ❑ Other � private On-Site Well 159900
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 ali 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 so ght 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 o his dwelling for which 1 am applying for an erosion control or construction permit without a Dwelling
Contrector Certification and have read the cauti ry tment regarding contractor responsibility on the Building Permit Application.
APPLICANT'S SIGNATURE DATE SIGNED
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 standard conditions of approval
ISSUING ❑ Town � Village ❑✓ City ❑ County ❑ State of: Municipality Number of Dwelling Location:
.iUR[SDICTtQN City Of Oshkosh 7 0 - 2 6 6
Plan Review $75.00 `� Construction
� HVAC Name Nicole Krahn
Inspection -
� Electrical
Wis.Permit Seal $35.00 � plumbing Date 3l22/2013
Other �✓ Erosion
Total $110.00 ❑ 425874 Cert. No. 248101
SBD-5823(R.07/92)