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No107087
CITY OF OSHKOSH
OSHKOSHBUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
ANCHORAGE HOMES INC
Job Address4415 JACKTAR RDOwnerCreate Date03/26/2004
DesignerJames LarsonContractorANCHORAGE HOMES INC
Category130 - New Multi-FamilyPlanK8-17-0304
TypeBuildingSignCanopyFenceRaze
C-1PD
ZoningClass of Const:8Size5056 Sq Ft
Sq. Ft.Projection
Unfinished/Basement0Rooms0Height0Ft.
Finished/Living
5056Sq. Ft.Bedrooms0Stories2Canopies0
Garage0Sq. Ft.Baths0Signs0
Poured ConcreteFloating SlabPierOther
Foundation
Concrete BlockPostTreated Wood
Occupancy PermitRequiredFlood PlainNoHeight PermitNot Required
Park DedicationRequired# Dwelling Units4# Structures1
4 U NIT / New 4 unit apartment as per State Transaction ID #756318
Use/Nature
of Work
HVAC ContractorBREWER HEATINGPlumbing ContractorHANSON QUALITY PLUMBING
Electric ContractorCUMINGS ELECTRIC INC
Fees: Valuation$170,000.00Plan Approval$0.00Permit Fee Paid$589.00Park Dedication$660.00
03/26/200400/00/0000
Issued By:DateFinal/O.P.
Permit Voided
Parcel Id #1529030600
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
2519 BOWEN STOshkoshWI549012021236-4232
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.
GRADE STAKE FORM
OSHKOSH
Grade Stake Number7127
ON THE WATER
NameANCHORAGE HOMES INCAddress4415 JACKTAR RDCreate Date03/26/2004
Block
Lot6Ward
SubdivisionANDERS PLATZone
Sidewalk Existing
Street Number4415 JactarLot Dimensions114' x 120'
Building Grade Elevation Stakes Set At Site03/26/2004Set By
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.
PARKLAND DEDICATION FEE COLLECTION RECORD
OSHKOSH
ON THE WATER
Job Address 4415 JACKTAR RDDate03/26/2004
NameANCHORAGE HOMES INC
Address2519 BOWEN STOSHKOSHWI54901
SubdivisionANDERS PLATLot6
Building Permit Number0107087
Number of Dwelling Units4Number of Structures1
Fee Required$660.00Fee Paid
Owner's SignatureDate
Inspector's SignatureDate