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Home My WebLink About0108274-Building °I4 CITY OF OSHKOSH. 4y. No 108274 OSHKOSH BUILDING PERMIT - APPLICATION AND RECO''.. o � ON THE WATER Job Address 655 WEATHERSTONE DR Owner DEWEY HOMES Create Date 05/14/2004 Designer Contractor DEWEY HOMES INC Category 110 - New Single Family Plan F1- 043 -0504R Type • Building 0 Si 0 Canopy 0 Fence 0 Raze Zoning R -1 Class of Const: 8 Size IRRG Unfinished /Basement 990 Sq. Ft. Rooms 8 Height 26 Ft. El Projection Finished /Living 1910 Sq. Ft. Bedrooms 3 Stories 2 Canopies 0 Garage 756 Sq. Ft. Baths 3 Signs 0 Foundation 0 Poured Concrete 0 Floating Slab 0 Pier O Other 0 Concrete Block 0 Post 0 Treated Wood Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 1 # Structures 1 Use /Nature NSFR/ New single family 2 story with 3 car attached garage, 14' x 14' patio. Driveway shall not exceed 24' wide at the front property line. of Work HVAC Contractor AMERICAN HEATING & A C CO Plumbing Contractor P &S PLUMBING Electric Contractor CUMINGS ELECTRIC INC Fees: Valuation $131,900.00 Plan Approval $75.00 Permit Fee Paid $505.00 Park Dedication $200.00 Issued By: Date 05/25/2004 Final /O.P. 00 /00 /0000 ❑ Permit Voided I Parcel Id # 1219750500 In the performance of this work I agree to perform all work pursuant to rules goveming 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 sec 7 ecess , • tea, before starting such activity. Si nature i Date fc5/2_,t0 Agent/Owner Address 3876 PURPL REST DR OSHKOSH WI 54901 - 8212 Telephone Number 920 - 231 -3389 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. xek #1 4 GRAD E STAKE FORM ON THE WATER Grade Stake Number 71 Name DEWEY HOMES Address 655 WEATHERSTONE DR Create Date 05/14/2004 Lot 5 Block Ward Subdivision Weatherstone Plat Zone Street Number Lot Dimensions U Sidewalk Existing Building Grade Elevation Stakes Set At Site 05/17/2004 Set By D.W.G. BK - 586 , P - 27 Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the grad- -stabli hed •efore excavation has commenced. Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. p� Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0108274 P.O. Box 2509 APPLICATION Parcel No. Madison, WI 53701 -2509 Wisconsin Statues 101.63, 101.73 Q Constr ❑ HVAC ❑ Elec ❑ Plbg Q Erosion ❑ Other: Owner's Name Mailing Address Telephone No. DEWEY HOMES 1941 BEECH ST Oshkosh WI 54901 - 0000 Contractor: U Con❑ EIecLI HVAC Plbg Lic/Cert # Mailing Address Telephone No. DEWEY HOMES INC 250178 3876 PURPLE CREST DR OSHKOSH WI 54901 - 8212 920- 231 -3389 Contractor: LJ Con U EIec]J HVACL Plbg LicCert # Mailing Address Telephone No. CUMINGS ELECTRIC INC 170792 PO BOX 749 NEENAH WI 54957 - 749 920 - 722 -1240 Contractor: LJ Con U Elecu HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No. AMERICAN HEATING & A C CO 6356 1129 MICHIGAN AVE OSHKOSH WI 54902 - 0 235 -8090 Contractor: Li Con Li Elec LJ HVAC H Plbg Lic/Cert # Mailing Address Telephone No. P &S PLUMBING PO BOX2153 APPLETON WI 54912 -2153 920- 722 - 5035, 9 Lot Area Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 655 WEATHERSTONE DR Weatherstone Plat 5 Zoning District(s) Zoning Permit No. Front Rear Left Right ' ' �.:,. 1 0 New ❑ Repair Q Single Family Entrance Panel 0 Forced Air Furnace Nat. L.P. Oil Elec. Solid Sole ❑ Alteration ❑ Raze _ Two Family Size: 200 amp ❑ Radiant Baseboard or Panel Fuel Gas * ❑ Addition _ Garage Service: El Heat Pump Space Htg O ❑ ❑ ❑ ❑ ❑ ❑ Move ❑ Other (print): ❑ Overhead 0 Underground El Water Htg Q ❑ ❑ ❑ ❑ ❑ ❑ Other: Q Central Air Conditioning * U Dwelling unit will have 3 kilowatt or • Other more installed electric space heating equip. Q Site Constructed • Concrete e: Infiltration control option is: ❑ Full sealing Unfinished ❑ Manufactured ❑ Masonry Sewer ❑ Treated Wood of joints. ❑ Blower door test. ❑ Exterior Basement 990 Sq ft. r " p _ Q Municipal air infiltration barrier. 1 -Sto Living Area 1910 Sq. ft. ry ❑ Other Septic Garage 756 Sq. 13 2-Story Permit No. Envelope 29145 BTU /HR 9 q• ft El Seasonal �� ❑ Other �', Infiltration 12420 BTU /HR Q Permanent Q Municipal Utility P lus Basement El $151,900.00 ❑ ❑ Private 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 ored, on the De.artment or municipality; and certifies that all the above information is ccurate APPLICANT'S SIGNATURE ,_ �, 1" _ - ,--. _ . DATE SIGNED X j 2 Q/ APPROVAL CONDITIONS This permit is is ue..ursuant to the following conditions. Failure to comply may result in s pension revocation of this •ermit or other penalty SEE "STANDARD CONDITIONS OF APP', OVAL" SHEET ❑ Town ❑ Village Q City ❑ County L State of: Municipality Number of Dwelling Location: City Of Oshkosh 7 0 - 2 6 6 K y Plan Review $75.00 .! Construction Inspection _ HVAC Name JOHN ZARATE Electrical Wis. Permit Seal $30.00 1 Plumbing Date 5/17/2004 Other 111 Erosion Total $105.00 ❑ 306854 Cert. No. 70330 SBD -5823 (R. 07/92) 14 OSHKOSH PARKLAND DEDICATION FEE COLLECTION RECORD n ON THE WATER O Job Address 655 WEATHERSTONE DR Date 05/25/2004 Name DEWEY HOMES Address 1941 BEECH ST Oshkosh WI 54901 Subdivision Weatherstone Plat Lot 5 Building Permit Number 0108274 Number of Dwelling Units 1 Number of Structures 1 Fee Required $200.00 Fee Paid r's Signature J3 � i �^ - Date �j 'r- G7 Owne y Inspector's Signature j Date 1 I , I c) 1 -.. , . ! I c. N. ,•! 1 I 1 I s ktq 1 tn 54 - 7.4p. D t 2! I 1 ? 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