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Home My WebLink About2013-Building � CITY OF OSHKOSH No 157619 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 543 SCHOOL AVE _ Owner HABITAT FOR HUMANITY OF OSHKOSH INC Create Date 09/06/2013 Designer Contractor HABITAT FOR HUMANITY OF OSHKOSH INC Inspector John Zarate Category 110-New Single Family Plan UDC-3873-0913 Type � Building 0 Sign � Canopy � Fence � Raze Zoning R-4 Class of Const: Size Unfinished/Basement 649 Sq.Ft. Rooms 6 Height Ft. ❑ Projection � Finished/Living 959 Sq.Ft. Bedrooms 3 Stories 1 Canopies Garage Sq.Ft. Baths 1 Signs Foundation � Poured Concrete � Floating Slab � Pier � Other � Concrete Block � Post 0 Treated Wood Occupancy Permit Required Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication Not Required #Dwelling Units 0 #Structures 0 of Wo kure NSFR/New single family home"1 story. No garage,deck or patio. A Concrete driveway is proposed. I I I HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $87,000.00 Plan Approval $75.00 Permit Fee Paid $364.44 Park Dedication $0.00 Issued By: Date 09/09/2013 Final/O.P. 00/00/0000 � Permit Voided I Parcel Id#0201230000 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 pe pplication withi an easement,the City strongly urges the permit applicant to contact the easement holder(s)and to ec e y necessary pprovals before starting such activity. I have read and d s d the afore one information. Signature Date � �� (3 AgenUOwner Address PO BOX 2 2 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 No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0157619 P.O. Box 2509 APPLICATION Parce�No. Madison,WI 53701-2509 : Wisconsin Statues 101.63, 101J3 ' -; ;��'�';�(��"�`�Q;- ' ❑ Constr � HVAC � Elec � Plbg 0✓ 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 LiGCert# Mailing Address Telephone No. HABITAT FOR HUMANITY OF OSHKOSH INC 1050156 PO BOX 2692 OSHKOSH WI 54903- 0 23r3535 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 No. Contractor: Con Elec HVAC Plbg LiGCert# Mailing Address Telephone No. Contractor: Con Elec HVAC Plbg LiGCert# Mailing Address Telephone No. ��-��; " Lot Area S .ft. 1/4, 1/4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 543 SCHOOL AVE Zoning District(s) Zoning Permit No. Front Rear Left Right '�:PRC?.iECf .,{'�+��PANCI�•�;: B..Et�E�TRiGAL ��H1lAC EQUEFME�IT ..• ':-. Z.E�IER��' CE �' ✓ New � Repair ✓ Single Family Entrance Panel ✓ Forced Air Fumace 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 ❑✓ ❑ ❑ ❑ ❑ ❑ � Move � Other(print): �✓ Overhead ❑ Boiler Water Htg �✓ ❑ ❑ ❑ � � ❑ Underground ❑ Other: �✓ Central Air Conditioning • Dwelling unit will have 3 kilowatt or '��' '�T�� " ' �"�� Other more installed electric space heating equip. :��."�� Site Constructed ✓ Concrete ��.�� ,,,�� ',��,.. Unfinished � ❑ Manufactured ❑ Masonry �' Infiltration control option is:❑ Full sealing ❑ Treated Wood Sewer of joints. ❑ Blower door test. ❑ Exterior Basement 649 Sq.ft. �;;��p��$ ;:,,, 0✓ Municipal air infiltration barrier. ✓ 1-Sto ❑ Other Living Area 959 Sq.ft. ry ❑ Septic '��:�HEO►'F:i-�" : Icul ' .'E�S�,: ❑ 2-Story Permit No Envelope 13976 BTU/HR Garage Sq.ft. � Other ❑ Seasonal ,� ��.�� ; . : Infiltration 9841 BTU/HR �✓ Permanent � Municipal Utility 14�;��7`:R�t3ti.i�IC�.�"`a�Cy,S� �✓ Plus Basement ❑ Other � private On-Site Well 104000 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, pertnission to enter the premises for which this permit is so gh at all reasonable urs and for any proper purpose to inspect the work which is being done. �', I vouch that I am or will be an owner-occup t this dwelling for ich I am applying for an erosion control or construction pertnit without a Dwelling Contractor CeRiflcation and have read the caution ta t regarding on resp nsibility on the Building Permit Application. APPLICANT'S SIGNATURE DATE SIGNED y�i/� /� APPROVAL CONDITIONS This per i ss ed pursuant t the follow g conditions. Failure to comply may result in suspension or revocatio of t i permit or other enalty Per attached signed and dated"Stnadard Conditions of Approval"sheet ;�� '�, � Town � Village �✓ City � County � State of: Municipality Number of Dwelling Location: ' ��$� =;(��;�� City Of Oshkosh 7 0 - 2 6 6 E Plan Review $75.00 `� Construction Inspection — � HVAC Name John Zarate � Electrical Wis.Permit Seal _ $35.00 � plumbing Date 9/6/2013 Other �✓ Erosion Total $110.00 ❑ 430469 Cert. No. 70330 SBD-5823(R.07/92)