HomeMy WebLinkAbout0157302-Building � CITY OF OSHKOSH No 157302
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 731 E MELVIN AVE Owner CARLOS AIVARENGA Create Date 08/16/2013
Designer Contractor BRU NICK BUILDERS
Inspector John Zarate
Category 110-New Single Family Plan UDC-3854-0813
Type � Building 0 Sign � Canopy � Fence � Raze
Zoning R-1 Class of Const: 8 Size IRR
Unfinished/Basement 1280 Sq.Ft. Rooms 3 Height 18 Ft. ❑ Projection
Finished/Living 1200 Sq.Ft. Bedrooms _ _ 3 Stories 1 Canopies
Garage 0 Sq.Ft. Baths _ _ 1 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 Not Required #Dwelling Units 1 #Structures 1
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Use/Nature iSFR�/ oC nstructing a new 1 story home with an unfinished basement. The 24'x26'garage is existing. check#1060
of Work �
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HVAC Contractor AMERICAN HEATING &A C CO _ Plumbing Contractor WELLNITZ PLUMBING
Electric Contractor UNKNOWN????
Fees: Valuation $89,583.40 Plan Approval $75.00 Permit Fee Paid $521.40 Park Dedication $0.00
Issued By���IL Date 08/20/2013 Final/O.P. 00/00/0000
❑ Permit Voided,I, Parcel Id# 1108250000
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 me tioned information.
Signature ��,(,�pJ Date Q '—a(�-�/_�
AgenUOwner
Address 1335 WINNEBAGOAVE _ _ __ OSHKOSH WI 54901 - 5334 Telephone Number (920)426-4359
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 0157302
P.O. Box 2509 APPLICATION Parcel No.
Madison,WI 53701-2509
Wisconsin Statues 101.63, 101.73
°� �PERMIT�REQUESTED��x'� ❑ Constr ❑ HVAC ❑ Elec ❑ Plbg �✓ Erosion ❑ Other:
Owner's Name Mailing Address Telephone No.
CARLOSALVARENGA 2875 HOMESTEAD DR OSHKOSH WI 54904- 7411
Contractor: ✓ Con Elec HVAC Plbg LiGCert# Mailing Address Telephone No.
BRU NICK BUILDERS gz75 1335 WINNEBAGOAVE OSHKOSH WI 54901 - 5334 (920)426-4359
Dwelling Contr.Qualifier LiGCert# The Dwelling Contr.Qualifier shall be an owner,CEO,COB or employee of
NICHOLAS SALBEGO 8276 Dwelling Contr.
Contractor:� Con �✓ Elec❑ HVAC� Plbg LiGCert# Mailing Address Telephone No.
UNKNOWN???? 171337 p - 0
Contractor: Con Elec ✓ HVAC Plbg LiGCert# Mailing Address Telephone No.
MERICAN HEATING &A C CO 6356 1129 MICHIGAN AVE OSHKOSH WI 54902_ 6437 235-8090
Contractor: Con Elec HVAC ✓ Plbg Lic/Cert# Mailing Address Telephone No.
WELLNITZ PLUMBING 223819M 1500 N MCCARTHY RD#3 APPLETON W� 54913- 0 (0)231-7390
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PROJEC�T�LOCATION� LotArea S � �ia, va,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
731 E MELVIN AVE Existing Lot
Zoning District(s) Zoning Permit No. Front Rear Left Right
�1:=PROJECT °° ,,' .` �, -; ,�; �'OCCUPANCY'' •6:E�ECTRiCA�'`'s� �9:HVAG EQUIPMENT�. ;. �r�12:'ENERGYSOURCE`;��''�`'�r,`.°;{'';"'
✓ 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 Gas *
❑ Raze Gara e
� Addition 8 9 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:�CONST.�TYPE'��°r7:FQUNDATION . Other more installed electric space heating equip.
�,F2�AREA°JNVOLVED�� �✓ Site Constructed � Concrete `�0.PLUMBING �' '%�'`� %" Infiltration control option is:❑ Full sealing
Unfinished ❑ Manufactured ❑ Masonry Sewer
,,,- � Treated Wood of joints. ❑ Blower door test. ❑ E�erior
Basement 1280 Sq ft ;,�STOR�IES�� ,� ,��,�. ❑✓ Municipal air infiltration barriec :�
❑ Other �13.-HEAT LOSS Calculated r%'%f`i�°� °
Livin Area 1200 S ft. ❑ ry ❑ Septic
9 4• .,$.USE�. ��:���'`"�
❑ 2-Story Permit No Envelope 19579 BTU/HR
Garage � Sq.ft. � Seasonal
— ❑ Other �11:WATERf "�: �"��...;;._.* Infikration 15606 BTU/HR
�✓ Permanent 0 Municipal Utility s�1�.EST.�BUILDING COST ��'"� �'`<�.'`�"`;�-'���
�✓ Plus Basement ❑ Other � private On-Site Well 130000
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 expressiy 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.
� 1 vouch that I am or will be an owner-occupant of this dwelling for which I am applyiog 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 4��/.G�c',� /a�,�•� - DATE SIGNED �-,�.0--/�
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 standard conditions
�°�' �= •° � � � �� ���� ❑ Town � Village ❑✓ City � County ❑ State of: Municipality Number of Dwelling Location:
ISSUING �"� x
����`? City Of Oshkosh 7 0 - 2 6 6
URISDICTION�;
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Plan Review $75.00 � Construction ,
❑ HVAC Name Nicole Krahn
Inspection -
� Electrical
Wis.Permit Seal $35.00 � plumbing Date 8/19/2013
Other �✓ Erosion
Total $110.00 ❑ 430468 Cert.No. 248101 __ _
SBD-5823(R.07/92)