HomeMy WebLinkAbout0158464-Building � CITY OF OSHKOSH No 158464
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
- ON THE WATER
Job Address 1657 MARICOPA DR Owner TIM FREY Create Date 10/10/2013
Designer Contractor J&M PROFESSIONAL SERVICES, LLC.
Inspector Nicole Krahn
Category 110-New Single Family Plan UDC-3899-1013
Type � Building � Sign � Canopy � Fence 0 Raze I ;
Zoning Class of Const: 8 Size 4513
Unfinished/Basement __ Sq.Ft. Rooms ___15 Height 19 Ft. ❑ Projection
Finished/Living 3547 Sq.Ft. Bedrooms 8 Stories 1 Canopies
Garage 966 Sq.Ft. Baths 2 Signs
Foundation � Poured Concrete � Floating Slab 0 Pier � Other .
� Concrete Block � Post � Treated Wood
Occupancy Permit Required Occupancy Fee $0.00 Fiood Plain No Height Permit Not Required
Park Dedication Required #Dwelling Units 1 #Structures 1
Use/Nature �NEW 8 BED CBRF/Construction of a 1 story 8 bed CBRF with a four car attached garage. This permit does not include any exterior
of Work patios and/or decks. NOTE: The existing curb cut shown on the plans will need to be closed and abandoned and a ROW permit will be j
'required from DPW. *'check#1815
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HVAC Contractor UNKNOWN??? Plumbing Contractor UNKNOWN
Electric Contractor UNKNOWN????
Fees: Valuation 339,228.00 Plan Approval $75.00 Permit Fee Paid $887.34 Park Dedication $200.00
Issued By: Date 10/25/2013 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 under d th afore mentioned information.
Signature ,` Date ��'�S"�
AgenbOwner
Address 739 WARBLER RD. HOWARDS GROVE WI 53083 - 0000 Telephone Number 920-207-6703
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 0158464
P.O.Box 2509 APPLICATION Parcel No.
Madison,WI 53701-2509
Wisconsin Statues 101.63, 101.73
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' �[R�(j�� � (,��j $'j D„��` ❑ Constr � HVAC � Elec � Pibg ✓ Erosion Other:
,_�,.�.. , � 6� ' ❑ ❑
Owner's Name Mailing Address Telephone No.
TIM FREY SHEBOYGAN WI 53081 - 0000
Contractor: ✓ Con Elec HVAC Plbg LiGCert# Mailing Address Telephone No.
J 8�M PROFESSIONAL SERVICES, LLC. 1197855 739 WARBLER RD. HOWARDS GR WI 53083- 0 920-207-6703
Dwelling Contr.Qualifier LiGCert# The Dwelling Contr.Qualifier shall be an owner,CEO,COB or employee of
Joshua Bower 1197856 Dwelling Contr.
Contractor:� Con �✓ Elec� HVAC❑ Plbg Lic/Cert# Mailing Address Telephone No.
UNKNOWN???? 171337 0 - 0
Contractor: Con Elec ✓ HVAC Pibg LiGCert# Mailing Address Telephone No.
UNKNOWN??? Oshkosh WI 54901 _ 0
Contractor. Con Elec HVAC ✓ Plbg LiGCert# Mailing Address Telephone No.
UNKNOWN OSHKOSH WI 54901 - 0
�'PROJ�C�"1�;�CA7�ON'�' LotArea S .ft. 1/4, 1/4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
1657 MARICOPA DR Existing lot
Zoning District(s) Zoning Permit No. Front Rear Left Right
.�'l:PRO.iEGT,�, F� .��; .. ,��` .� .`;OCCUPANGY�_; ; "6s'ELEGTRICAL'�`�, �9:�HVAC:A;EQUIPINENT T` ,:1.'� 2:�NERG,� A , LC ' '
✓ New � Repair ✓ Single Family Entrance Panel ✓ Forced Air Furnace Nat. L.P. Oil Elec. Solid Sola
❑ Alteration Two Family Size:200 am ❑ Radiant Baseboard or Panel Fuel Gas *
❑ Raze e Gara e
� Addition 9 Service: ❑ Heat Pump Space Htg ❑ ❑ ❑ ❑ ❑ ❑
� Move � Other(print): ❑ Overhead � goiler Water Htg ❑ ❑ ❑ ❑ ❑ ❑
❑✓ Underground
❑ Other: �✓ Central Air CondiUoning ' Dwelling unit will have 3 kilowatt or
,4.CQN$T,`:TYPE �<` .T;FOUNDATION �; Other more installed electric space heating equip.
�2:ARFA�IMfOU1t�D�����`�'�.�, ❑✓ Site Constructed � Concrete � � � ,�,
Mason '���'��'������ � � �� Infiltration control option is:❑ Full sealing
Unfinished ❑ Manufactured � ry Sewer of'oints.
� Treated Wood 1 ❑ Blower door test. ❑ Exterior
Basement Sq.ft. �;�;�Yp���,g . y",�-°��� �✓ Municipal air infiltration barrier
Other '�3�`Ii�AT'�GS #,;alcit ateil ,,
LivingArea 3547 Sq.ft. ❑'� 1-Story � , , � Septic
❑ 2-Story 8' S� ' �f' c'`� ' Permit No Envelope36123 BTU/HR
Garage 966 Sq.ft. � Seasonal ' Infiltration 22985 BTU/HR
❑ Other ,11:WAT�� � ._;; ;",�
�✓ Permanent 0 Municipal Utility 4.ES7`�BC11L,1?IN�'��7S `x.
� Plus Basement ❑ Other � private On-Site Well 339228
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.
� I vouch that 1 am or will be an owner-occupant of this dwelling for which I am applying for an erosion control or construction permit without a Dwelling
Contrector Certification and have read the caution ry statm nt regarding co tractor responsibility on the Building Permit Application.
APPLICANT'S SIGNATUREo1 DATE SIGNED G°-�S
APPROVAL CONDITIONS Th' permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
r vocation of this permit or other penalty
see standard conditions of approval
�T « > W � Town ❑ Village ❑✓ City � County � State of: Municipality Number of Dwelling Location:
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� ����p��(j�� ;' City Of Oshkosh 7 0 - 2 6 6
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Plan Review � � �$75.00 ���`�� Construction � � � � � � � � � ��
Inspection
� HVAC Name Nicole Krahn
� Electrical
Wis.Permit Seal _ $35.00 � Plumbing Date 10/16/2013
Other 0 Erosion
Total $110.00 ❑ 430472 Cert. No. 248101
SBD-5823(R.07/92)