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Home My WebLink About0156871-Building � CITY OF OSHKOSH No 156871 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 5 ALLEN AVE Owner CYPRESS HOMES Create Date 07/19/2013 Designer Contractor CYPRESS HOMES Inspector John Zarate Category 110-New Single Family Plan UDC-3827-0713 Type � Building � Sign � Canopy 0 Fence � Raze � Zoning R-1 Class of Const: 8 Size IRR Unfinished/Basement 1282 Sq.Ft. Rooms 4 Height 18,Ft. ❑ Projection � Finished/Living 1302 Sq.Ft. Bedrooms 3 Stories 1 Canopies Garage 495 Sq.Ft. Baths 2 Signs Foundation � Poured Concrete � Floating Slab 0 Pier � Other 0 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 NSFR/1 story home with a 2 car attached garage. A seperate permit will be required for any deck, patio or basement remodeling as it is of Work not included in this permit. � J HVAC Contractor BAY AREA SERVICES INC Plumbing Contractor SBS PLUMBING LLC Electric Contractor SCHMIT ELECTRIC LLC Fees: Valuation $100,000.00 Plan Approval $75.00 Permit Fee Paid $604.22 Park Dedication $200.00 Issued By: t �j�l Date 07/24/2013 Final/O.P. 00/00/0000 �f�. ❑ 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 secure any necessary approvals before starting such activity. I have read a u rst d the a ' n information. Signature Date 7 j3 AgenUOwner Address 1500 W COLLEGE AVE APPLETON WI 54914 - 3041 Telephone Number (920)734-2324 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 0156871 P.O. Box 2509 APPLICATION Parcel No. Madison,WI 53701-2509 Wisconsin Statues 101.63, 101.73 � ;��j� , �' �'j��: ' ❑ Constr � HVAC ❑ Elec � Plbg �✓ Erosion ❑ Other. Owner's Name Mailing Address Telephone No. CYPRESS HOMES 1619 COLLEGE AVE APPLETON WI 54914- 0000 Contractor: ✓ Con Elec HVAC Pibg LiGCert# Mailing Address Telephone No. CYPRESS HOMES 6850 1500 W COLLEGE AVE APPLETON WI 54914- 3041 (920)734-2324 Dwelling Contr.Qualifier LiGCert# The Dwelling Contr.Qualifier shall be an owner,CEO,COB or employee of MICHAEL F BLANK 6851 Dwelling Contr. Contractor:� Con �✓ Elec❑ HVAC❑ Plbg LiGCert# Mailing Address Telephone No. SCHMIT ELECTRIC LLC 171258 W2695 EVERGREEN DR KAUKAUNA WI 54130- 9325 (g20)740-4757 Contrador: Con Elec ✓ HVAC Plbg LiGCert# Mailing Address Telephone No. BAY AREA SERVICES INC 5180 1801 VELP AVE GREEN BAY WI 54303_ 6447 gZp-435-7111 Contrador: Con Elec HVAC ✓ Pibg LiGCert# Mailing Address Telephone No. SBS PLUMBING LLC 665479M 4635 RED FOX RD OSHKOSH W� 54904- 7784 g20-410-5933 -�� '��,� LotArea S .ft. 1/4, 1/4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block Na 5 ALLEN AVE 3 Zoning District(s) Zoning Permit No. Front Rear Left Right �:PRQJECT', _ ," , , .. : ,: ' ;:t�EC'.IIPi�Y ` . �EL,E�,+`T'RtGAL �.Fl1fi,�',;.EQU1F'MEHiT�;; 2.;�1ERCsY Sf? �`w�.�.' "". ✓ New � Repair ✓ Single Family Entrance Panel ✓ Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola � Alteration � Raze Two Family Size:200 am ❑ Radiant Baseboard or Panel Gas * � Addition B Garage Service: � Heat Pump Space Htg 0✓ ❑ ❑ ❑ ❑ ❑ � Move � Other(print): � Overhead � goiler Water Htg ❑✓ ❑ ❑ ❑ ❑ ❑ ❑✓ Underground ❑ Other: � Central Air Conditioning * Dwelling unit will have 3 kilowatt or �'`�Q ��"' '" ��T�� Other more installed electric space heating equip. ✓ Concrete =`ARE�411�ttiCQ�:%t'�D._ ' ✓ Site Constructed ��: � �� -�� `'��"w� Infikration control option is:❑� Full sealing Manufactured ❑ Masonry Unfinished ❑ Sewer of joints. ❑ Blower door test. ❑ Exterior Basement 1282 Sq.ft. �g^��;;, ❑ Treated Wood � Municipal air infiltration barrier. ❑ Other Living Area 1302 Sq.ft. � �-Story ❑ Septic �.��''��"�t� ❑ 2-Story '� Permit No. Envelope25080 BTU/HR Garage 495 SQ•�• � Other ❑ Seasonal .��;�A�� Infiltration�5692 BTU/HR �✓ Permanent � Municipal Utility >'t4�EST:"E31J[Lt�tt�!�'�C�ST!, 0✓ 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 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. 0', I vouch that I am or will be an owner-0ccupant of this dwelling for which I am applying for an erosion control or construction permit without a Dwelling Contractor Certification and have read the ca a rding contractor responsibility on the Building Permit Application. APPLICANT'S SIGNATURE DATE SIGNED � APPROVAL CONDITIONS Permit is issued pursuant to the following conditions. Failure to comply may re ult in suspension or revocation of this permit or other penalty ' ❑ Town � Village � City � County � State of: Municipality Number of Dwelling Location: SSU1N �j�fg� #,'��,- City Of Oshkosh 7 0 - 2 6 6 , :, . , ;. ;: � ✓ Construction Plan Review $75.00 Name Nicole Krahn Inspection ❑ HVAC � Electrical Wis.Permit Seal _ $35.00 � plumbing Date 7/22/2013 Other �✓ Erosion Total $110.00 ❑ 430465 Cert. No. 248101 SBD-5823(R.07/92)