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Home My WebLink About0105860-Building No105860 CITY OF OSHKOSH OSHKOSHBUILDING PERMIT - APPLICATION AND RECORD ON THE WATER HABITAT FOR HUMANITY Job Address1243 W 9TH AVEOwnerCreate Date12/19/2003 DesignerContractorHABITAT FOR HUMANITY OF OSHKOSH INC Category110 - New Single FamilyPlanE1-158-1203R TypeBuildingSignCanopyFenceRaze R-1 ZoningClass of Const:8SizeIRRG Sq. Ft.Projection Unfinished/Basement960Rooms5Height14Ft. Finished/Living 924Sq. Ft.Bedrooms3Stories1Canopies0 Garage324Sq. Ft.Baths1Signs0 Poured ConcreteFloating SlabPierOther Foundation Concrete BlockPostTreated Wood Occupancy PermitRequiredFlood PlainNoHeight PermitNot Required Park DedicationRequired# Dwelling Units1# Structures1 NSFR/ New single family home with a parking area in the rear.* Note: rear parking area to be screened per city ordinance. Use/Nature of Work HVAC ContractorSTEINBRUNER HEATING & COOLINGPlumbing ContractorDRUCKS PLUMBING Electric ContractorVAN ERT ELECTRIC Fees: Valuation$80,000.00Plan Approval$75.00Permit Fee Paid$320.00Park Dedication$200.00 12/26/200300/00/0000 Issued By:DateFinal/O.P. Permit Voided Parcel Id #1307690000 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. SignatureDate Agent/Owner PO BOX 1021OSHKOSHWI549031021235-3535 Address-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. OSHKOSH ON THE WATER .lob Address 1243 W 9TH AVE Designer Category 110 - New Single Family CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner HABITAT FOR HUMANITY Contractor Create Date HABITAT FOR HUMANITY OF OSHKOSH INC No 105860 12/19/2003 Plan E1-158-1203R Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze Zoning R-1 Class of Const: 8 Size IRRG Unfinished/Basement 960 Sq. Ft. Rooms 5 Height 14 Ft. ~J Projection Finished/Living 924 Sq. Ft. Bedrooms 3 Stories 1 Canopies Garage 324 Sq. Ft. Baths 1 Signs Foundation O Poured Concrete (~) Floating Slab (~) Pier (~) Other (~) Concrete Block (~) Post (~) Treated Wood Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 1 # Structures 1 Use/Nature NSFR/New single family home with a 1 car detached garage.* Note: rear parking area to be screened per city ordinance. of Work HVAC Contractor STEINBRUNER HEATING & COOLING Plumbing Contractor DRUCKS PLUMBING Electric Contractor VAN ERT ELECTRIC Fees: Valuation $80,000.00 Plan Approval $75.00 Permit Fee Paid $320.00 Park Dedication $200.00 Issued By: Date 12/26/2003 Final/O.P. 00/00/0000 Permit Voided 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. Signature Date Agent/Owner Address PO BOX 1021 OSHKOSH WI 54903 - 1021 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. OSHKOSH ON THE WATER Name HABITAT FOR HUMANITY GRADE STAKE FORM Address 1243 W 9TH AVE Lot 9 Block Subdivision Garden Homes Plat Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 12/22/2003 Set By D.W.G. Grade Stake Number 7083 Create Date 12/19/2003 Ward Sidewalk Existing Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT o1o586o P.O. Box 2509 APPLICATION Parcel No. Madison, WI 53701-2509 Wisconsin Statues 101.63, 101.73 [] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other: Owner's Name Mailing Address Telephone No. HABITAT FOR HUMANITY 1118- B HIGH ST Oshkosh WI 54901 - 0000 Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No. HABITAT FOR HUMANITY OF OSHKOSH INC 7777 PO BOX 1021 OSHKOSH WI 54903 - 1021 235-3535 Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No. VAN ERT ELECTRIC 170921 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 920-766-3888 e) Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No. STEINBRUNER HEATING & COOLING 12627 600 OREGON ST OSHKOSH W 54902 - 0 (920) 426-1830 Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No. DRUCKS PLUMBING PO BOX 355 MENASHA WI 54952 -0 426-2654 PRO~EC~ EOC~ION IL°t Area Sq. ft. 1/4, 1/4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 1243 W 9TH AVE Garden Homes Plat 9 Zoning District(s) /Zoning Permit No. Front Rear Left Right J __Setbacks ft ......... _f_t_: ft ft ~ ~E~ ~ E~E= ~'=~ ~ ~V~= E=U~N --~ ~.~',' ~ .............................. L~J New [] Repair [] Single Family Entrance Panel L~J Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola [] Alteration [] Raze [] Two Family Size: 200 amp [] Radiant Baseboard or Panel Gas , [] Addition [] Garage Service: [] Heat Pump Space Htg [] [] [] [] [] [] [] Move [] Other (print): [] Overhead [] Boiler Water Htg [] [] [] [] [] [] [] Other: [] Underground [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or ~ ~OI~,IS~ TYPE ~ EOUND~TION [] Other = more installed electric space heating equip. [] Site Constructed · Concrete - Infiltration control option is: [] Full sealing Unfinished [] Manufactured · Masonry Sewer of joints. [] Blower door test. [] Exterior Basement 960 Sq. ft. 5 S~OBIE8 · Treated Wood [] Municipal air infiltration barrier. Living Area 924 Sq. ft. [] 1-Story · Other [] Septic ~ ~~ ~! ~!at~ [] 2-Story Permit No. Envelope 30826 BTU/HR Garage 324 Sq. ft. [] Other [] Seasonal Infiltration 11750 BTU/HR [] Permanent [] Municipal Utility [] Plus Basement [] Other [] Private On-Site Well $93,000.00 The applicant agrees to comply with all applicable codes, statues and ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, express or implied, on the Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE DATE SIGNED This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or APPROVAL CONDITIONS revocation of this permit or other penalty SEE "STANDARD CONDITIONS OF APPROVAL" SHEET [] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location: ~ll~BIB~lOl~,i City Of Oshkosh 7 0 - 2 6 6 ~lS UN!EORIVI ~ERMI~ ~ERiVii~ iSSUED B~ ~ Construction Plan Review $75.00 _ HVAC Name JOHN ZARATE Inspection Electrical Wis. Permit Seal $30.00 [] Plumbing Date 12/19/03 Other [] Erosion Total $105.00 · 306828 Cert. No. 70330 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER .lob Address 1243 W 9TH AVE Name HABITAT FOR HUMANITY Address 1118- B HIGH ST Subdivision Garden Homes Plat Building Permit Number 0105860 Number of Dwelling Units Fee Required PARKLAND DEDICATION FEE COLLECTION RECORD Date 12/26/2003 Oshkosh WI 54901 Lot 9 1 Number of Structures $200.00 Fee Paid Owner's Signature Inspector's Signature Date Date