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HomeMy WebLinkAbout2004-BuildingNo107547 CITY OF OSHKOSH OSHKOSHBUILDING PERMIT - APPLICATION AND RECORD ON THE WATER DENNIS MOE Job Address285 287 WESTBROOK DROwnerCreate Date04/13/2004 DesignerContractorALLIANCE CONSTRUCTION Category120 - New DuplexPlanF1-034-0404R TypeBuildingSignCanopyFenceRaze R-2 ZoningClass of Const:8SizeIRR Sq. Ft.Projection Unfinished/Basement1402Rooms3Height18Ft. Finished/Living 1402Sq. Ft.Bedrooms2Stories1Canopies0 Garage579Sq. Ft.Baths2Signs0 Poured ConcreteFloating SlabPierOther Foundation Concrete BlockPostTreated Wood Occupancy PermitRequiredFlood PlainNoHeight PermitNot Required Park DedicationRequired# Dwelling Units2# Structures1 NEW DUPLEX/ 1 story side by side duplex with 2 car attached garages, 16'x10' rear patio for the left side unit. Both units have rear covered Use/Nature screened porches. of Work HVAC ContractorAMERICAN HEATING & A C COPlumbing ContractorSOPER PLUMBING Electric ContractorCUMINGS ELECTRIC INC Fees: Valuation$165,250.00Plan Approval$75.00Permit Fee Paid$607.00Park Dedication$330.00 04/20/200400/00/0000 Issued By:DateFinal/O.P. Permit Voided Parcel Id #9062018000 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 3444OshkoshWI549030000 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 Number7145 ON THE WATER NameDENNIS MOEAddress285 287 WESTBROOK DRCreate Date04/19/2004 Block Lot30Ward SubdivisionZone Sidewalk Existing Street NumberLot Dimensions Building Grade Elevation Stakes Set At Site04/19/2004Set 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. Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations BUILDING PERMIT 0107547 Safety and Buildings Division P.O. Box 2509 Parcel No. APPLICATION Madison, WI 53701-2509 Wisconsin Statues 101.63, 101.73 PERMIT REQUESTED üü ConstrHVAC ElecPlbgOther: üü Erosion Owner's NameMailing AddressTelephone No. DENNIS MOE1186 CAMBRIA CTOshkoshWI54904-0000 Contractor: üü ConElecHVACPlbg Mailing AddressTelephone No. Lic/Cert # ALLIANCE CONSTRUCTIONPO BOX 3444WI0 961862 Oshkosh54903- Contractor:Mailing AddressTelephone No. Con üü ElecHVACPlbg Lic/Cert # CUMINGS ELECTRIC INCWI749 170792 PO BOX 749NEENAH54957-920-722-1240 Contractor:Mailing AddressTelephone No. ConElec üü HVAC Plbg Lic/Cert # 6356 OSHKOSHWI54902235-8090 AMERICAN HEATING & A C CO1129 MICHIGAN AVE-0 Contractor:Mailing AddressTelephone No. Con ElecHVAC üü Plbg Lic/Cert # SOPER PLUMBINGOshkosh54902-0 2225 BURNWOOD DRWI426-2151 Lot Area PROJECT LOCATION 1/4,1/4,Section,TN,RE(or)W Sq. ft. Building AddressSubdivision NameLot No.Block No. 285 287 WESTBROOK DR30 Zoning District(s)Zoning Permit No.FrontRearLeftRight Setbacksft.ft.ft.ft. 1. PROJECT3. OCCUPANCY6. ELECTRICAL9. HVAC EQUIPMENT12. ENERGY SOURCE üü NewForced Air Furnace Nat.L.P.OilElec.SolidSolar üü Single Family Entrance Panel Repair Fuel Gas * Two FamilyRadiant Baseboard or Panel amp Alteration 0 Size: Raze Garage Space Htg Service: Heat Pump Addition Move Other (print): üü Overhead Water Htg Boiler Underground Other:Central Air Conditioning *Dwelling unit will have 3 kilowatt or 4. CONST. TYPE7. FOUNDATION Other more installed electric space heating equip. Concrete 2. AREA INVOLVED üü Site Constructed 10. PLUMBING üü Infiltration control option is:Full sealing Masonry Manufactured Unfinished Sewer of joints.Blower door test.Exterior Treated Wood Basement1402Sq. ft. air infiltration barrier. üü Municipal 5. STORIES Other 13. HEAT LOSS (Calculated) üü 1-Story Septic Living Area1402Sq. ft. 8. USE 26167 EnvelopeBTU/HR Permit No. 2-Story 579 GarageSq. ft. üü Seasonal 17160 InfiltrationBTU/HR Other 11. WATER Permanent 14. EST. BUILDING COST üü Municipal Utility Other $240,000.00 Plus BasementPrivate On-Site Well 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 State of: TownVillage üü CityCounty Municipality Number of Dwelling Location: ISSUING 7 0 - 2 6 6 City Of Oshkosh JURISDICTION PERMIT(S)WIS. UNIFORM PERMIT FEES:PERMIT ISSUED BY: ISSUEDSEAL NO. üü Construction Plan Review$75.00 Nicole Krahn Name HVAC Inspection Electrical Wis. Permit Seal$30.00 4/19/04 Plumbing Date üü Erosion Other 248101 Cert. No. 306887 $105.00 Total SBD-5823 (R. 07/92) PARKLAND DEDICATION FEE COLLECTION RECORD OSHKOSH ON THE WATER Job Address 285 287 WESTBROOK DRDate04/20/2004 NameDENNIS MOE Address1186 CAMBRIA CTOshkoshWI54904 SubdivisionLot30 Building Permit Number0107547 Number of Dwelling Units2Number of Structures1 Fee Required$330.00Fee Paid Owner's SignatureDate Inspector's SignatureDate