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