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Home My WebLink About0074661- Building (House & Garage) 0 CITY OF OSHKOSH No 0074661 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 912 N LARK Owner RAY FORES Create Date 12/07/1999 Designer Ross Design Contractor CUSTOM BUILT HOMES 10/19/00 Category 110-New Single Family Plan C7-163-1299R Type 0_ Building 0 Sign Q Canopy Q Fence Q Raze Zoning R Class of Const: 8 Size 47'x 70' Unfinished/Basement 1367 Sq.Ft. Rooms 6 Height 18 Ft. ❑ Projection Finished/Living 1367 Sq.Ft. Bedrooms 3 Stories 1 Canopies Garage 836 Sq.Ft. Baths 2 Signs Foundation • Poured Concrete Q Floating Slab Q Pier Q Other 0 Concrete Block Q Post 0 Treated Wood Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Not Required #Dwelling Units 1 #Structures 1 Use/Nature NSFR/New single family dwelling with attached garage,and driveway-NO DECK or PATIO of Work HVAC Contractor BREWER HEATING Plumbing Contractor HANSON QUALITY PLUMBING Electric Contractor CUMINGS ELECTRIC Fees: Valuation 10 00.00 Plan Approval $40.00 Permit Fee Paid $335.00 Park Dedication $0.00 Issued By: Date 12/07/1999 Final/O.P. ❑ Permit Voided In the perform thi work I a to all work pursuant to rules governing the described construction. Date /2-_ 7— '? Signature g"..riti8wner Address 4631 PLUMMERS POINT RD Oshkosh WI 54904 - 0000 Telephone Number 426-1556/M585-3333 (i) GRADE STAKE FORM !OSHKOSH ON THE WATER Grade Stake Number 6300 Name RAY FORES Address 912 N LARK Create Date 12/07/1999 Lot Part of 8,all of 9,part 10 Block Ward Subdivision NW Car&Machine Co 1st Ad Zone Street Number Lot Dimensions 88.78'x 120' Sidewalk Existing Building Grade Elevation Stakes Set At Site 00/00/0000 Set 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. Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor'and Human Relations BUILDING PERMIT 0074661 Safety and Buildings Division P.O.Box 7969 APPLICATION Parcel No. Madison,WI 53707 Wisconsin Statues 101.63, 101.73 ?: PERMIT REQUESTED❑✓ Constr ❑ HVAC ❑ Elec ❑ Plbg ❑✓ Erosion ❑ Other: Owner's Name Mailing Address Telephone No. RAY FORES 1015 COOLIDEGE AVE OSHKOSH WI 54902- 0000, Contractor:(J Con LJ Elec U HVAC❑ Plbg Lic/Cert# Mailing Address Telephone No. CUSTOM BUILT HOMES 10/19/00 243890 4631 PLUMMERS POINT RD Oshkosh WI 54904- 0000 42-1556/M585 Contractor:L Con •±1 Elec U HVAC[j Plbg Lic/Cert# Mailing Address ne No. CUMINGS ELECTRIC PO BOX 749 NEENAH WI 54957- 0749 231-5946 (Dick Contractor:(] Con U Elec U HVAC LJ Plbg Lic/Cert# Mailing Address Telephone No. BREWER HEATING N8804 N DOUGLAS ST RIPON WI 54971 - 0000 1-748-6494 Contractor:U Con H Elec LJ HVAC U Plbg Lic/Cert# Mailing Address Telephone No. HANSON QUALITY PLUMBING 550 N BLUEMOUND RD APPLETON WI 54915- 0000 730-0205 :; PROJECT LOCATION I Lot Area Sq.ft. 1/4, 1/4,Section ,T N,R E(or)W •Building Address Subdivision Name Lot No. Block No. 912 N LARK NW Car&Machine Co 1st Ad Part of 8,all of 9,pE Zoning District(s) Zoning Permit No. Front Rear Left Right .Setbacks ft ft ft. . 1.PROJECT •::::;:::•::❖:::::•::•:•:'';3.00CUPANCY :•):.'•..ELECTRICAL ::::: •.HVAC EQUIPMENT ,:::❖: 2.ENERGY SOURCE ./ New Repair ••/ Single Family Entrance Panel j Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola L] Two Family Size: 200 amp Li Radiant Baseboard or Panel Gas • j Alteration LJ Raze Addition ❑ Heat PumpSpace Htg [ ❑ ❑ ❑ ❑ ❑ ❑ Garage Service: ❑ Move I� Other(print): Overhead ❑ Boiler Water Htg [I. ❑ ❑ ❑ ❑ ,/ Underground n Central Air Conditioning •U Dwelling unit will have 3 kilowatt or ] Other •4.CONST.TYPE :•:•: .FOUNDATION i I Other more installed electric space heating equip. 2._AREA INVOLVED ;:,:,:, :::: ✓ Site Constructed ✓ Concrete 3146.PLUMBING ::•:::::;:°:• :::: Infiltration control option is:❑ Full sealing Unfinished Manufactured Masonary Sewer of joints. ❑ Blower door test. ❑Exterior Basement 1367 Sq.ft. 1E5.STORIES ...;.•.•,.;•;• Treated Wood 7 Municipal air infiltration barrier. Other Septic *13.HEAT LOSS(Calculated) Living Area 1367 Sq.ft. LJ 1-Story grog:::::::::::::::::::: • 2-Story . �' Permit No. Envelope 25147 BTU/HR Garage 836 Sq•ft. ✓ Other u Seasonal • 11.WATER •:•::•:::•:❖:❖ Infiltration 17569 BTU/HR ❑✓ Permanent .14.EST.BUILDING COSY ;:;:•:::::::::::::;:;i: Li Other ill Municipal Utility ❑✓ Plus Basement ❑ Private On-Site Well $103,500.00 The applicant agrees to comply with all applicable codes,statues and ordinances and with the conditions of this permit,understands that the issuance of the permit creates no legal liabili - - _-s • implied,on artment or municipality;and certifies that all the above information is accurate. APPLICANT'S SIGNATURE ✓ i2--- DATE SIGNED 71---'7 X9 This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or APPROVAL CONDITIONS revocation of this permit or other penalty See standard conditions of approval ::::is.......•ao�: ::::::4 Town Village ❑ City ❑ County ❑ :;:ISSUING ''•' °•• ✓ State of: Municipality Number of Dwelling Location: • 7 0 2 6 6 URISDICTION City Of Oshkosh s.v'J-r.-r*-r.c. sss'sr .rs"s;**�s.r.•r....•.�.� 0.:•.::•:.•:::::::::'•. . . r..c......s,...•.s.....s.•••iiM•i•:::•i• .•�.•0000::::•�� •.••� '.:•.:':•C1:::•:.�. .•.•.•:.•.❖..o..•:$::::•••••:•:+ ..❖...•.•.s•.•.•.•,•••,•••• PERMIT(S) :�.WIS.UNIFORM PERM! ••••••••••. .•. ::::•:•:•:•:;•;•::.:.•:•;:.•;•❖.•.••.•..❖.�•':❖: .ERMIT ISSUED BY: :•FEES: • .. ... •::.•.•.•:::•••r: ; ::; ; :�:�.;.;.;.;.;.;.;.;.;.;: :•:.:.:. *.SSUED SEAL NO. .:.•:•:•:•;:: :. X::•:••••••••:••.•.•.•.•.•••..•.:• ::'::: :: Plan Review $40.00 ✓ Construction Name Brian Noe Inspection HVAC Wis.Permit Seal $30.00 Electrical Date 12/07/1999 Plumbing Other ✓ Erosion Total $70.00 — 233841 Cert.No. 74266 SBD-5823(R.07/92) • ll N il 13'51 IIx 4.1cv z 0 fS a ! ,� yg .� s e CN 11. cg rn 5. vj, - 1101 - I 0 11111111. r 1 .. t � Ic,) i � ti O .4. �t r .tet.. $ 03 ‘ _:-..t.) ''''.' ,4- o ��m I^P 1 ,\Ny = moo t V - !a.. .. c l i1 N �- • , 0 • I I . LI 1^, I 0H i 14- r:: I1 a IIa` n i- (., I K i Ij �H ` i4 4l..Yk4 " ./ , i 0 7 Z , i1 : 0 g . �X t P. k 'C A-'4 k X A y ~K ~''~t c .... 1,\ OM! Building Permit Work Card Job Address 912 N LARK Permit Number 0074661 Create Date 12/07/1999 Owner RAY FORES Contractor CUSTOM BUILT HOMES 10/19/00 Category 110-New Single Family Type •_w Ing 1r 0 Canopy ( encs aze —I Plan C7-163-1299R Zoning R Class of Const: 8 Size 47'x 70' Value $103,500.00 Unfinished/Basement 1367 Sq. Finished/Living 1367 Sq.Ft. Garage 836 Sq.Ft. Ft. I � Protection Rooms 6 Bedrooms 3 Baths 2 Stories 1 Height 18 Ft. Canopies Signs FoundationPoured Concrete O Floating SlabPier Other Concrete Block 0 Post Treated Wood Occupany Permit Required Flood Plain No Height Permit Not Require Park Dedication Not Required #Dwelling Units 1 #Structures 1 Use/Nature NSI-R/New single family dwelling with attached garage,and driveway-NO DECK or PAl 10 of Work HVAC Contr BREWER HEATING Plumbing Contr HANSON QUALITY PLUMBING Electric Contr CUMINGS ELECTRIC Inspections: Date 04/10/2000 Type Final i Inspector Nicole Krahn Ki Approved Ke-inspect Building Permit Work Card Job Address 912 N LARK Permit Number 0074661 Create Date 12/07/1999 Owner RAY FORES Contractor CUSTOM BUILT HOMES 10/19/00 Category 110-New Single Family Type 0 Building OSign— 0 Canopy \) Fence 0 Raze -1 Plan C7-163-1299R Zoning R Class of Const: 8 Size 47'x 70' Value $103,500.00 Unfinished/Basement 1367 Stq. Finished/Living 1367 Sq.Ft. Garage 836 Sq.Ft. Rooms 6 Bedrooms 3 Baths 2 7 Projection Stories 1 Height 18 Ft. Canopies Signs Foundation 0 Poured Concrete 0 Floating Slab (J Pier 0 Other Concrete Block 0 Post 0 Treated Wood Occupany Permit Required Flood Plain No Height Permit Not Require Park Dedication Not Required #Dwelling Units 1 #Structures 1 Use/Nature NSFR/New single family dwelling with attached garage,and driveway-NU ULL:K or PA 110 of Work HVAC Contr BREWER HEATING Plumbing Contr HANSON QUALITY PLUMBING Electric Contr CUMINGS ELECTRIC Inspections: Date 02/10/2000 Type Insulation Inspector Nicole Krahn ✓J Approved Inspector Nicole Krahn I J Approved I Date 04/05/2000 Type Final P 1-Install uniform house numbers 2-Install erosion control measure until the lawn is established -ends of silt fence must be returned a min of 2' 3-Provide uniform risers off of the front porch 4-Provide a minimum of a 2"x2"wood member along front, Date 04/05/2000 Type Final Inspector Nicole Krahn I Approved I ont. rear&side edges oft ceiling fire-seperatlon Seal elec holes through top plate -Provide gasket for attic access panel -Block bean in the beam pockets 8-Draftstop holes through the floor sheathing 9-Max 2 45 degree elbows or 1 90 degree Date 04/05/2000 Type Final Inspector Nicole Krahn 19 Approved I 'Cont. elbow tor vent connector-water heater 10-Seal elec holes through return air spaces 10-Provide 1"clearance to combustibles for B-vent Building Permit Work Card Job Address 912 N LARK Permit Number 0074661 Create Date 12/07/1999 Owner RAY FORES Contractor CUSTOM BUILT HOMES 10/19/00 Category 110-New Single Family Type • Building 0 Sign 0-Canopy ("' Fence -0—Rize—i--1 Plan C7-163-1299R Zoning R Class of Const: 8 Size 47'x 70' Value $103,500.00 Unfinished/Basement 1367 Sq. Finished/Living 1367 Sq. Ft. Garage 836 Sq.Ft. Ft. Rooms 6 Bedrooms 3 Baths 2 J Projection Stories 1 Height 18 Ft. Canopies Signs Foundation Poured Concrete 0 Floating Slab ) Pier C) Other Concrete Block 0 Post 0 Treated Wood Occupany Permit Required Flood Plain No Height Permit Not Require Park Dedication Not Required #Dwelling Units 1 #Structures 1 Use/Nature NSFR/New single family dwelling with attached garage,and driveway-NO DECK or PATIO of Work HVAC Contr BREWER HEATING Plumbing Contr HANSON QUALITY PLUMBING Electric Contr CUMINGS ELECTRIC Inspections: Date 12/14/1999 Type Footings Inspector Nicole Krahn r:✓ Approv�re -1 Date 12/29/1999 Type Foundation Backfill Inspector Nicole Krahn Approved 13'of foam required for foundation currently on y installed Date 02/07/2000 Type Rough In Inspector Nicole Krahn LI Approved [1-Provide air barrier for cathedral area Flashing required for front stoop Date 02/10/2000 Type Rough In Inspector Nicole Krahn ✓1 Approved Ne-inspect 1