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Home My WebLink About0157149-Building � CITY OF OSHKOSH No �57�as OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER ' Job Address 1035 JEFFERSON ST Owner HABITAT FOR HUMANITY OF OSHKOSH INC Create Date 07/26/2013 Designer Contractor HABITAT FOR HUMANITY OF OSHKOSH INC Inspector John Zarate Category 110-New Single Family Plan UDC-3836-0713 Type � Building � Sign � Canopy � Fence � Raze _ ' Zoning R-2 Class of Const: Size Unfinished/Basement 940 Sq.Ft. Rooms 5 Height 20 Ft. ❑ Projection ' Finished/Living 940 Sq.Ft. Bedrooms 2 Stories 1 Canopies Garage Sq.Ft. Baths 1 Signs Foundation � Poured Concrete � Floating Slab � Pier � Other Q Concrete Block 0 Post � Treated Wood Occupancy Permit Required Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication Not Required #Dwelling Units 0 #Structures 0 Use/Nature NSFR/New single family dwelling*1 story,no garage, 10'x 12'shed and handicap ramp. '*check#5703, 5706 of Work � _ _ HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $109,000.00 Plan Approval $75.00 Permit Fee Paid $413.40 Park Dedication $0.00 --- — -— -- Issued By: Date 08/11/2013 Final/O.P. 00/00/0000 ❑ Permit Voided ' Parcel Id# 1001320100 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 PO BOX 2692 OSHKOSH WI 54903 - 0000 Telephone Number 235-3535 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 0157149 P.O. Box 2509 APPUCATION Parcel Na Madison,WI 53701-2509 Wisconsin Statues 101.63, 101.73 ''i'�PERMIT�'REQ�IE,STED; ' ❑ Constr HVAC Elec ❑ ❑ � Plbg �✓ Erosion ❑ Other. Owner's Name Mailing Address Telephone No. HABITAT FOR HUMANITY OF OSH PO BOX 2692 OSHKOSH WI 54903- 2692 Contractor: ✓ Con Elec HVAC Plbg Lic/Cert# Mailing Address Telephone Na HABITAT FOR HUMANITY OF OSHKOSH INC 1050156 PO BOX 2692 OSHKOSH WI 54903- 0 235-3535 Dwelling Contr.Qualifier LiGCert# The Dwelling Contr.Qualifier shall be an owner,CEO,COB or employee of DAVID NACZEK 1107976 Dwelling Contr. Contractor:� Con � Elec� HVAC❑ Plbg LiGCert# Mailing Address Telephone Na Contractor: Con Elec HVAC Plbg LiGCert# Mailing Address Telephone No. Contractor: Con Elec HVAC Plbg LiGCert# Mailing Address Telephone No. PRO:IECT��`OCATIO,e ,. LotArea s .ft. va, va,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 1035 JEFFERSON ST Knapp&Fitzgeralds 2/3 Zoning District(s) Zoning Permit No. Front Rear Left Right 1�PROJEC,T �OCCUPANCY fi�EL''ECTRICAL�„ �.9:`HVAC EQUIPMENT�� '�`, ; 4.12.-ENERGY<SOURCE ';%`,�� "�;�'�'.�m` ✓ 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 Garage Service: ❑ Heat Pump Space Htg ❑✓ ❑ ❑ ❑ ❑ ❑ ❑ Move � Other(print): ❑ Overhead � goiler Water Htg ❑✓ ❑ ❑ ❑ ❑ � ❑✓ Underground � Other. _ �✓ Central Air Conditioning � Dwelling unit will have 3 kilowatt or 4�CONS7�TYP� Q�,�ID�1'T�QN' Other more installed electric space heating equip. � �2�AREA�INVOLVE� �✓ Site Constructed � Concrete �O�PLUMBING��`��s,�� ,� Infiltration control option is:❑ Full sealing Manufactured ❑ Masonry Unfinished ❑ Sewer of joints. ❑ Blower door test. ❑ E�erior Basement 940 Sq.ft. �5:�$TORIES -,❑ Treated Wood a Municipal air infiRration barrier. ✓ 1-Sto ❑ Other Se tic �13:;HEAT LOSS' Calculated `;�,;�"�`,:"�,r Living Area 940 Sq.ft. ry ❑ P ,8:�USE 4: � 2-Story "�� ' '° Permit No. Envelope 21695 BTU/HR Garage Sq.ft. Seasonal � Infiltration?1506 ❑ Other �11.;WATER_�° �_ , ,.�''=:'T. "� - - - - BTU/HR ✓ Permanent � ,��: .�, � ❑✓ Municipal Utility �14:`EST.BUILDING COST , 0✓ Plus Basement ❑ Other � private On-Site Well 88569 I agree to comply with all appiicable 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 expressty 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 this dwelling for which 1 am applying for an erosion control or construction permit without a Dwelling Contractor Certification and have read the cautionary statment regarding contractor responsibility on the Building Permit Application. APPLICANT'S SIGNATURE DATE SIGNED 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 ofApproval"sheet • $. ('a. � Town � Village �✓ City � County ❑ State of: Municipality Number of Dwelling Location: � ��Sp � � City Of Oshkosh 7 0 - 2 6 6 � � ��,° �� . � , . �� . � , �. � �`.�� Plan Review $75.00 `� Construction � HVAC Name John Zarate Inspection -- ---- ----- Wis.Permit Seal $35.00 � Electrical ❑ Plumbing Date 7/29/2013 —- - -_ _. Other �✓ Erosion Total $110.00 ❑ 430467 Cert. No. 70330 SBD-5823(R.07/92)