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Home My WebLink About0092335-Building · CITY OF OSHKOSH No 0092335 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2665 HEARTHSTONE DR Owner Create Date 12/t3/2001 Designer Contractor D B CURTISS LTD Category 110 - New Single Family Plan C9-130-1201R Type · Building O Sign O Canopy O Fence O Raze Zoning R-1 Class of Const: 8 Size IRR Unfinished/Basement 1105 Sq, Ft, Rooms 7 Height 25 Ft. [] Projection J Finished/Living 2149 Sq, Ft, Bedrooms 3 Stories 2 Canopies Garage 613 Sq. Ft. Baths 3 Signs Foundation · Poured Concrete ~) Floating Slab (~ Pier (~) Other (~) Concrete Block (~ Post O Treated Wood Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units I # Structures 1 Use/Nature ~ISFPJ 2 story home w/2 car attached garage, NO PATIO OR DECK. of Work HVAC Contractor BREWER HEATING Plumbing Contractor FIELDS PLUMBING Electric Contractor SCHOMMER ELECTRICAL CON Fees: Valuation t~00.00 Plan Approval $75.00 Permit Fee Paid $326.00 Park Dedication $100.00 Issued By:. ~.~ Date 1/23/02 Final/O.P. [] Permit Voided] In the performance ~1 agree to perform all work pursuant to roles governing the described censtmction. Signature /L~-~ ~ Date t/~-~ Agent/Owner Address 40 W 6TH AVE OSHKOSH WI 54902 - 0000 Telephone Number 426-1973 ZONING/LAND U-qE COMPUANCE CHECKLIST PROPERTY OWNER/CONTRACTOR: ~-~'~-~ ~ CONSTRUCTION DATA: ~ New Construction Addition · TYPE OF CONSTRUCTION: (i.e. fence, pool, paddng lot, sign, etc.)X,,~/ COMPLIANCE CHECKLIST ZONING Alteration DEFICIENT COMMENTS Use Lot Width Lot Area Lot Area Per Family Floodplain Front Yard Front Yard Side Street Rear Yard Side Yards Building Area Parking Standards Off-Street Loading Standards Vision Clearance Transitional Yard Standards Landscape Standards Height Conditions of Approval Compliance with P.C. or BZA Conditions of Approval Signage Standards Drainage Plan REVIEW AUTHORITY As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or designee, must approval all plans, except the following: (1) Alterations or interior work when the use is conforming and when no change in use is proposed. (2) Maintenance items, e.g. siding, windows, etc., when the use is conforming and when no change is proposed. ~'~ APPROVED DENIED Plan Commission Action Required .Variance(s) Require.d · DATE: OSHKOSH ON THE WATER Name Lot 12 Subdivision San'es Plat Street Number GRADE STAKE FORM Address 2665 HEARTHSTONE DR Block Zone Lot Dimensions Grade Stake Number 6662 Create Date 01/15/2002 Ward LJ_ Sidewalk Existing j Building Grade Elevation Stakes Set At Site 01/'i7/2002 Set By BK 571,P 64 FUND. INSTALL AT STAKE 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 0092335 P.O, Box 2509 Madison, WI 53701-2509 APPLICATION Parcel No. Wisconsin Statues 101.63, 101.73 [] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other: Dwner's Name Mailing Address Telephone No. ¢0 W 6TH AVE Oshkosh WI 54901 - 000ti 426-1973 3ontrector: [~ Con[] Elec~ HVAC ~ Plbg Lic/Cert # Mailing Address Telephone No. D B CURTISS LTD 1066 40 W 6TH AVE OSHKOSH WI 54902 - 0 426-1973 Contractor: L~ Con b~ Elec ~j HVACL~ Plbg Lic/Cert # Mailing Address Telephone No. SCHOMMER ELECTRICAL CON 170465 N 164 TWO MILE ROAD APPLETON WI 54914 - 9121 (920) 73%2299 Contractor: ~j Con b~ Elec[~ HVAC [_~ PIbg Lic/Cert # Mailing Address Telephone No, BREWER HEATING 4220 q8804 N DOUGLAS STREET RIPON WI 54971 - 0 (920)746-6494 Contractor: b~ Con ~] ElecL~ HVACL~ Plbg Lic/Cert# Mailing Address Telephone NO. FIELDS PLUMBING 131540 1939 SOUTHLAND LN NEW LONDOh WI 54961 - 0 262-982-5813 Lot Area Sq. ff. 1/4, 1/4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 2665 HEARTHSTONE DR Sarres Plat 12 Zoning District(s) Zoning Permit No. Front Rear Left Right L~ New [] Repair IL~ single Family Entrance Panel v'l Forced Air Fumace Fuel Nat. L.P. Oil EIoc Solid Sol~ [] Alteration [] Raze ~ Two Family Size: 200 am [] Radiant Baseboard or Pane Gas [] Addition Garage Service: [] Heat Pump Spaos Ht~ '-~ [] [] [] [] [] [] Move [] Other (print): --] Overhead [] Boiler WaterHtg [] [] [] [] [] [] Underground Central Air Conditioning * [~ Dwelling unit will have 3 kilowatt or [] Other: more installed electric space heating equip: [] Site Constructed Unfinished [] Manufactured ~ Masonry infiltration control Option is: [] Full sealing Sewer of jointa, [] Blower door test. [] Exterior ~ Treated Wcod [] Municipal air infiltration barder; Basement 1105 Sq. ff. ~ Other LivingArea 2149 Sq. ff. [] 1-Story [] 2-Story [] Septic Garage 613 Sq. f. [] Other --~ Seasonal Permit No. InfiltrationEnvel°pe 3252313250 BTU/HRBTU/HR ;~ [] Permanent [] Municipal Utility [] Plus Basement [] Other [] Private On-Site Well $120,000.00 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, expre, s~or [i'~plied, on the Department or municipality; and certifies that all the above information is accurate, APPLICANT'S SIGNATURE'' '~'~t,,.--~..~ ~ DATE SIGNED APPROVAL CONDITIONS This permit is issued pursuant to the following conditions, Failure to comply may result in suspension' l or revocation of this permit or other penalty see standard conditions of approval [] Town [] Village [] City [] County ~ State of: Municipality Number of Dwelling Location: Plan Review $75.00 v' Construction HVAC Name Nicole Krahn thspection -- Electrical Wis. Permit Seal $30.00 Plumbing Date 1/15/02 Other ~ Erosion Tota~ $105.00 ~ 256656 Cert. No. 248101 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER PARKLAND DEDICATION FEE COLLECTION RECORD Job Address 2665 HEARTHSTONE DR Name Address 40 W 6TH AVE Oshkosh WI Subdivision Sarres Plat Lot 12 Building Permit Number 0092335 Number of Dwelling Units 1 Number of Structures Fee Required $100.00 Fee Paid Owner's Signature Inspector's Signature Date Date Date 1/23/02 54901 1 330.0' . ~ II o