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� CITY OF OSHKOSH No �5ss5s `
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 45 VICTORIA CT Owner KEITH DECKER BUILDERS Create Date 07/24/2013
Designer Contractor K DECKER BUILDERS
Inspector Nicole Krahn
Category 110-New Single Family Plan UDC-3831-0713
Type � Building � Sign 0 Canopy 0 Fence 0 Raze '
Zoning R-1 Class of Const: 8 Size IRR
Unfinished/Basement 1600 Sq.Ft. Rooms 3 Height 20 Ft. ❑ Projection
Finished/Living 1906 Sq.Ft. Bedrooms 3 Stories 1 Canopies
Garage 883 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 +
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Park Dedication Required #Dwelling Units 1 #Structures 1
Use/Nature SFR/NEW SINGLE FAMILY/Construction of a new 1 story home with a 3 car attached garage and a 13'x16'rear concrete patio
of Work j'*check#1064
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HVAC Contractor GRANT SCHULTZ HEATING 8�COOLING Plumbing Contractor SBS PLUMBING LLC
Electric Contractor HULLAR ELECTRIC LLC
Fees: Valuation $143,900.00 Plan Approval $75.00 Permit Fee Paid $865.02 Park Dedication $200.00
Issued By: �� Date 07/30/2013 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 and und tand the afore menti ed information.
Signature � Date �` 3G" �.3
�� AgenbOwner
Address 4614 RED FOX RD Oshkosh WI 54904 - 0000 Telephone Number 379-8008
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.
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Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT o15695s
P.O. Box 2509 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.
KEITH DECKER BUILDERS 4614 RED FOX RD Oshkosh WI 54901 - 0000
Contractor: ✓ Con Elec HVAC Plbg LiGCert# Mailing Address Telephone No.
K DECKER BUILDERS �22�p7g 4614 RED FOX RD Oshkosh WI 54904- 0 379-8008
Dwelling Contr.Qualifier LiGCert# The Dwelling Contr.Qualifier shall be an owner,CEO,COB or employee of
Keith G Decker 1306 Dwelling Contr.
Contractor: � Con �✓ Elec� HVAC❑ Pibg LiGCert# Mailing Address Telephone No.
HULLAR ELECTRIC LLC 850812 2535 KNAPP ST OSHKOSH WI 54902- 9004 �920)233-3667
Contractor: Con Elec ✓ HVAC Plbg LiGCert# Mailing Address Telephone No.
GRANT SCHULTZ HEATING&COOLING 891206 55 CRIMSON LN OSHKOSH WI 54902_ 7298 (g20)216-1616
Contractor: Con Elec HVAC ✓ Plbg LiGCert# Mailing Address Telephone No.
SBS PLUMBING LLC 665479M 4635 RED FOX RD OSHKOSH y�/� 54904- 7784 g20-410-5933
�`;��PROJECT�y OCATION� �otArea s .ft. va, va,Section ,T N,R E�or>w
Building Address Subdivision Name Lot No. Block No.
45 VICTORIA CT Manor Heights 20
Zoning District(s) Zoning Permit No. Front Rear Left Right
�1:"PROJEC �,� :K' _ .. ,3}�OCCUPANCY�` 6:.ELECTRICAL`�`�`�v9.;HVAG'EQUIPMENT �,��,�' �*12.'ENERGY SOURCE ' ` ' "'� '�` '%' '
✓ New � Repair ✓ Single Family Entrance Panel ✓ ForcedAir Furnace Fuel Nat. L.P. Oil Elec.ySolid Sola
� Alteration � Raze 8 Two Family Size:200 am ❑ Radiant Baseboard or Panel Gas *
❑ Addition Garage Service: ❑ Heat Pump Space Htg ❑✓ ❑ ❑ ❑ ❑ ❑
❑ Move � Other(print): ❑ Overhead � goiler Water Htg ❑✓ ❑ ❑ ❑ ❑ � `
�✓ Underground
❑ Other: , 0✓ Central Air Conditioning • Dwelling unit will have 3 kilowatt or �
4 rCONS�'�.TYP � F��J�1RA�10., � Other more installed electric space heating equip. �
' �`AREA�INVOL ED, ❑✓ Site Constructed � Concrete �0:"1?LUMBINGu�" , �
Mason Infiltration control option is:❑ Full sealing
Unfinished ❑ Manufactured � ry Sewer of'oints. '
❑ Treated Wood J ❑ Blower door test. ❑ Exterior
Basement 1600 Sq.ft. ��`gTORIES. . u ❑✓ Municipal air infiltration barrier. ;
✓ 1-Sto ❑ Other Se tic =13�:rHEAT��LOSS �Calculated � ���.`� � �
Living Area 1906 Sq.ft. ry �� ❑ P� r `
8':IJSE�. �`;�`Y_`� :
� 2-Story Permit No. Envelope24430 BTU/HR
Garage 883 Sq.ft. Seasonal
❑ Other � "11.WATER. �'��`,�'',.��`z�°�`;� Infiltration 19584 BTU/HR
❑✓ Permanent � Municipal Utility r14:EST.BUILDING COST rf�.'
�✓ Plus Basement ❑ Other � private On-Site Well 164000
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;a�d 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 ail 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 1 am applying for an erosion control or construction permit without a Dwelling
Contractor Certification and have read th cautiona statment regar ing contractor responslbility on the Building Permit Application.
APPLICANT'S SIGNATURE 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 standard conditions of approval attached to the plan.
� � Town � Village ❑✓ City ❑ County � State of: Municipality Number of Dwelling Location:
� Sst��c;
���� URISD �r.�? � City Of Oshkosh 7 0 - 2 6 6
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Plan Review $75.00 � Construction
❑ HVAC Name Nicole Krahn :
Inspection --_ _----— -
Wis.Permit Seal $35.00 � Electrical
� Plumbing Date 7/24/2013
Other � Erosion
Total $110.00 ❑ 430466 Cert. No. 248101
SBD-5823(R.07/92)