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Home My WebLink About0158819-Building � CITY OF OSHKOSH No 158819 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 795 WEATHERSTONE DR Owner PAUL&SUSAN PENZENSTADLER Create Date 11/11/2013 Designer Contractor GEURTS CUSTOM HOMES INC Inspector John Zarate Category 110-New Single Family _ Plan UDC-3918-1113 Type � Building � Sign � Canopy � Fence � Raze i Zoning R-1 Class of Const: 8 _ Size IRR Unfinished/Basement 1642 Sq.Ft. Rooms 5 Height 30 Ft. ❑ Projection �i Finished/Living 2382 Sq.Ft. Bedrooms _ 4 Stories 2 Canopies Garage 1223 Sq.Ft. Baths 3 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 Park Dedication Required #Dwelling Units 1 #Structures 1 Use/Nature NSFR/2 story home with a 3 car attached garage. The basement is unfinished and seperate permits will be required in the future if . of Work additional work is done. An encroachment agreement is required per DPW for the driveway section that runs over the easement. The � driveway apron will need to be adjusted to provide at least one foot of full curb head between the proposed driveway and the existing ��driveway to the south. Plans will need to be submitted to DPW for approvaL , � _— J HVAC Contractor MCM AIR INC _ Plumbing Contractor HANSON QUALITY PLUMBING Electric Contractor JK ELECTRIC Fees: Valuation $190,000.00 Plan Approval $75.00 Permit Fee Paid $1,004.46 Park Dedication $200.00 Issued By: �� Date 11/19/2013 Final/O.P. 00/00/0000 ❑ Permit Voided' Parcel id# Cautionarv Statement to Owners Obtaininq Buildinq Permits 101.65(1 r)of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an owner who applies for a building permit with a statement advising the owner that: If the owner hires a contractor to perform work under the building permit and the contractor is not bonded or insured as required under s. 101.654(2)(a),the following consequences might occur: (a)The Owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of the work performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the work performed under the building permit. (b)The Owner may not be able to collect from the contractor damages for any loss sustained by the owner because of a violation by the contractor of the one and two family dwelling code or an ordinance enacted under sub.(1)(a), because of any bodily injury to or death of others or damage to the property of others that arise out of the work performed under the building permit or because of any bodily injury to or death of others of damage to the property of others that is caused by any negligence by the contractor that occurs in connection with the work performed under the building permit. In the perFormance of this work I agree to pertorm 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 rstand the af re entioned informati n Signature '✓.�p�� Da4e � - �-� � AgenUOwner Address 3990 SUMMERVIEW DR Oshkosh WI 54901 - 0000 Telephone Number 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 Na Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0158819 P.O. Box 2509 APPLICATION Parcel No. Madison,WI 53701-2509 Wisconsin Statues 101.63, 101.73 °�:-PEE�MIT,;F�QUESTED : ❑ Constr � HVAC � Elec � Plbg �✓ Erosion ❑ Other: Owner's Name Mailing Address Telephone No. PAUL&SUSAN PENZENSTADLER 3990 SUMMERVIEW DR Oshkosh WI 54901 - 0000 Contractor: ✓ Con Elec HVAC Plbg Lic/Cert# Mailing Address Telephone No. GEURTS CUSTOM HOMES INC 975333 735 FOX FIRE DR Oshkosh WI 54904- 0 920-203-3909 Dwelling Contr.Qualifier LiGCert# The Dwelling Contr.Qualifier shall be an owner,CEO,COB or employee of : Adam Geurts 831272 Dwelling Contr. Contractor:� Con �✓ Elec❑ HVAC� Plbg LiGCert# Mailing Address Telephone No. JK ELECTRIC 160214 E9102 MANSKE RD NEW LONDON WI 54961 - 8938 (920)982-7848 Contractor. Con Elec ✓ HVAC Plbg LiGCert# Mailing Address Telephone Na MCM AIR INC 4264 6122 COUNTY ROAD M WINNECONNE WI 54986_ 9780 g20-582-4402 Contractor: Con Elec HVAC ✓ Pibg LiGCert# Mailing Address Telephone No. HANSON QUALITY PLUMBING 222587 550 N BLUEMOUND RD APPLETON �/� 54914- 5748 730-0205 ��T�� LotArea S .ft. 1/4, 1/4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 795 WEATHERSTONE DR Zoning District(s) Zoning Permit No. Front Rear Left Right ':.PRdJECT" 3.OCGUPAFICY .ELE�TR[CAL 9.HYAC;E4WPMEN'f.;:' 'IZ:Et�EEt�Y�Qt�I�G�':: ✓ 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 � Addition 8 Garage Service: ❑ Heat Pump Space Htg ❑✓ ❑ ❑ ❑ ❑ ❑ ❑ Move � Other(print): � Overhead � goiler Water Htg 0✓ ❑ ❑ ❑ ❑ ❑ ❑✓ Underground ❑ Other. �✓ Central Air Conditioning * Dwelling unit will have 3 kilowatt or 4•��TM'� ��T��- Other more installed electric space heating equip. 2 AREA tNY4L'�IED`� �✓ Site Constructed � Concrete ��_��gENG � "„�4`�`' Manufactured ❑ Masonry —�� " Infiltration control option is:❑ Full sealing Unfinished ❑ Sewer of joints. ❑ Blower door test. ❑ E�erior Basement 1642 S ft. ❑ Treated Wood 4• .S'I'dF�1�5 ❑✓ Municipal air infiltration barrier. -- ❑ Other 13.�HEA'�Lt38S f:alcUlated ; Living Area 2382 Sq.ft. �-Story g �� , � Septic ° — �✓ 2-Story Permit No. Envelope30724 BTU/HR Garage 1223 Sq.ft. ✓ Seasonal � Other � 1,VYA7�R . : Infiltration 24935 BTU/HR ❑ Permanent � Municipal Utility �•��r.�UILt31�[C's C�t', ' 0 Plus Basement ❑ Other � private On-Site Well 240000 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 I am or will be an owneroccup nt of this dwelling for which I am appl ing for an erosion control or construction permit without a Dwelling Contractor Certification and have read th cautio ry statment r rding contractor res o ibility on the Building Permit Application. ,� APPUCANT'S SIGNATURE � DATE SIGNE — ' j APPROVAL CONDITIONS his permit is issued pursua t o the following conditions. Failure to comply may result in suspension or revocation of this permit or ot r penalry See standard conditions of approval letter. u�� Town � Village �✓ City ❑ County � State of: Municipality Number of Dwelling Location: s�; �j�� "�� City Of Oshkosh 7 0 - 2 6 6 Plan Review $75.00 `� Construction Inspection ❑ HVAC Name Nicole Krahn _ � Electrical Wis. Permit Seal $35.00 � plumbing Date 11/11/2013 Other �✓ Erosion Total $110.00 ❑ 430474 Cert. No. 248101 SBD-5823(R.07/92)