HomeMy WebLinkAbout0157171-Building � CITY OF OSHKOSH No 157171
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 219 W NEW YORK AVE Owner HARVEY K/DIANE A HARTMAN Create Date 08/12/2013
Designer Contractor PROJECT MASTER LLC
Inspector John Zarate
Category 150-Residential New Garage Pian
Type � Building _ 0 Sign � Canopy � Fence � Raze I
Zoning R-2 Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms _ Height Ft. � Projection �
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage 226 Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/garage addition/to include new single stall garage attached to existing garage/all work will meet state and local codes/grade
of Work beam and wall bracing will meet code/all work will match plans attached
I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $8,000.00 Plan Approval $25.00 Permit Fee Paid $65.68 Park Dedication $0.00
Issued By: �rt1 � Date 08/12/2013 Final/O.P. 00/00J0000
❑ Permit Voided� Parcel Id# 1008040000
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 derst�nd th af��oned information. �+
Signature � � � Date 4`�
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AgenUOwner
Address W6873 HAZELNUT LANE APPLETON WI 54915 - 0000 Telephone Number 731-2568
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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CITY OF OSHKOSH BUILDING PERMIT APPLICATION
For 1 and 2 Famil Homes
Owner's Name Mailing Address Phone No.
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�=�3Gr�0�`�
Contractor's Name: Ma��g,Ad ress Lic/Cert Phone No.
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Plumbing Contractor's Name: Mail�ng ress ic/ ert Phone No.
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Electrical Contractor's Name: Mailing Address Lic/Cert# Phone No.
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HVAC Contractor's Name: Mailing Address Lic/Cert# Phone Na
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PROJECT LOCATION
Building Address Subdivision Name Lot Na
q . �
Zonin District Setbacks: Front Rear Left Ri ht
g ft. �, ft. � ft. g � ft.
PROJECT INFORMATION
OCCUPANCY AREA CONST.TYPE STORIES NUMBER OF
�Single Family Unfinished Basement sq.ft. �Site Constructed ROOMS
❑Two Family ❑Manufactured ❑ 1-Story _ Bathrooms
❑Other Living Area sq.ft. ❑2-Story
FOLJNDATION ❑Bi-level Bedrooms
Garage � sq.ft. ❑Tri-level
USE �Concrete Remaining
❑Seasonal ❑Masonry ❑Quad-level —
I-�IGHT 0 Other Finished Rooms
�:Permanent ❑Treated Wood
❑Other Height of the Structure(from final grade to the peak ❑Other
of the roo fl 5 A�. �.S �'�i� ��r[1
ELECTRICAL PLUMBING WATER BUILDING COST
Panel Size: Sewer
❑ 100 Am s ❑Munici al Sale Price of the Project $
P P ❑Municipal Utility (Final cost of house,lot&labor)
❑200 Amps ❑Septic ❑Private On-Site Well
Service: Permit No. MINUS - :
❑Underground The Cost of the Lot $ :
❑Overhead MINUS -
HEAT LOSS The Cost of the Mechanicals $
Envelope Btu/Hr EQUALS =
The Cost of Construction $
Infiltration Btu/Hr (Fair market value which includes la or)
ENERGY SOURCE HVAC EQUIPMENT
❑Forced Air Furnace
Choices: Natural Gas,L.P.,Oil,Elec, Solid,Solar ❑Radiant Baseboard or Panel
❑Heat Pump '
Space Htg �Boiler
❑Central Air Conditioning
Water Htg ❑Other
APPLICANTS SIGNATURE: DATE:
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