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Home My WebLink About0108263-Building 0 CITY OF OSHKOSH No 108263 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2380 HICKORY CT Owner JON & JUDY URBEN Cro Date 05/14/2004 Designer Contractor GALLERY HOMES Category 110 - New Single Family Plan F1- 041 -0504R Type 0 Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R -1 Class of Const: 8 Size Irrg Unfinished /Basement 1455 Sq. Ft. Rooms 8 Height 28 Ft. ❑ Projection Finished /Living 2432 Sq. Ft. Bedrooms 3 Stories 2 Canopies 0 Garage 876 Sq. Ft. Baths 3 Signs 0 Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 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, 3 car attached garage, 10' x 11' covered patio. Driveway shall not exceed 24' wide at the front property of Work line. HVAC Contractor MCM AIR INC Plumbing Contractor O'NEILL ENTERPRISE INC Electric Contractor UNKNOWN ? ? ?? Fees: Valuation $190,000.00 Plan Approval $75.00 Permit Fee Paid $679.00 Park Dedication $200.00 Issued By: Date 05/24/2004 Final /O.P. 00 /00 /0000 ❑ Permit Voided! Parcel Id # 1526191600 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 secure any necessary approvals before starting such activity. Signat ----- Date - -5- 7 1-- O Agent/Owner Address 494 WINDINGBROOK DR Oshkosh WI 54904 - 0000 Telephone Number 232 -0059 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 ifthe inspection is not performed within two business days from the time the project is ready. OSHKOSH GRADE STAKE FORM (1 ON THE WATER Grade Stake Number 7150 Name JON & JUDY URBEN Address 2380 HICKORY CT Create Date 05/14/2004 Lot 303 Block Ward Subdivision Northpoint 11th Add't Zone Street Number Lot Dimensions I I Sidewalk Existing Building Grade Elevation Stakes Set At Site 05/17/2004 Set By D.W.G. BK - 586 , P - 26 Department of Public Works 1, 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 Safety and Buildings Division BUILDING PERMIT 0108263 A:IL i P.O. Box 2509 P arcel No. Madison, WI 53701 -2509 APPLICATION a� Wisconsin Statues 101.63, 101.73 Q Constr ❑HVAC ❑ Elec ❑ Plbg Q Erosion [I Other: Owner's Name Mailing Address Telephone No. JON & JUDY URBEN 735 W LINWOOD AVE Oshkosh WI 54901 - 0000 Contractor: 0 Con❑ Elec❑ HVAC • Plbg Lic/Cert # Mailing Address Telephone No. GALLERY HOMES 663449 494 WINDINGBROOK DR Oshkosh WI 54904 - 0 232 -0059 Contractor: III Con 0 Elec U HVAC MI Plbg LicCert # Mailing Address Telephone No. UNKNOWN ? ? ?? Oshkosh WI 54901 - 0 Contractor: • Con • Elec Q HVAC . Plbg Lic/Cert # Mailing Address Telephone No. MCM AIR INC 4264 6122 COUNTY ROAD M WINNECONNI WI 54986 -9780 920 - 582 -4402 Contractor: U Con • Elec . HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. O'NEILL ENTERPRISE INC 225344 5575 CTY RD N PICKETT WI 54964 - 0 920 - 428 -4700 ! Lot Area Se. ft. 1/4, 1 /4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 2380 HICKORY CT Northpoint 11th Add't 303 Zoning District(s) Zoning Permit No. Front Right 0 New ❑ Repair 0 Single Family Entrance Panel 0 Forced Air Furnace Nat. Oil Elec. Solid Sola El Alteration _ Two Family Size: 200 am. ❑ Radiant Baseboard or Panel Fuel Ga - ❑ Raze ❑ Addition _ Garage Service: ❑ Heat Pump Space Htg 0 ❑ ❑ ❑ ❑ ❑ ❑ Move ❑ Other (print): ❑ Overhead Underground ❑ Boiler Water Htg 0 ❑ ❑ ❑ ❑ ❑ ❑ Other: Q g and Central Air Conditioning ,r y ❑ * • Dwelling unit will have 3 kilowatt or Other Concrete more installed electric space heating equip. a a Q Site Constructed ! t Infiltration control option ❑ Manufactured El Masonry p tion is: ❑ Full sealing Basement 1455 S ft. ,, [II Wood Sewer of joints. ❑Blower door test. ❑ Exterior q 1-Story ❑ Other 0 Mu nicipal air infiltration barrier. Living Area 2432 Sq. ft. ry ❑ Septic z nM u C a Garage 876 Sq. ft. 0 2 -Story E Permit No. Envelope 35341 BTU /HR O ther El ❑ BTU /HR Infiltration 25275 0 Permanent Municipal Utility 'gym D P tY �a�,. . .; ❑ Plus Basement ❑ Other Private On -Site Well ❑ $215,000.00 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 liability, express or implied, on the Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATUR — .0 �_,„,„ DATE SIGNED 5 .�4/ 0 APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty SEE "STANDARD CONDITIONS OF APPROVAL" SHEET ❑ Town ❑ Village 0 City ❑ County • State of: Municipality Number of Dwelling Location: City Of Oshkosh 7 0 - 2 6 6 Plan Review ... $75.00 Q Co nstruction Inspection • HVAC Name JOHN ZARATE III Electrical Wis. Permit Seal $30.00 Plumbing Date 5/14/04 Other 11 Erosion Total $105.00 ❑ 306853 Cert. No. 70330 SBD -5823 (R. 07/92) , ( PARKL D �' • OSHKOSH EDICATION FEE COLLECTION RECORD „� ON THE WATER 0301 Job Address 2380 HICKORY CT Date 05/24/2004 pp'( V Name JON & JUDY URBEN Address 735 W LINWOOD AVE Oshkosh WI 54901 Subdivision Northpoint 11th Add't Lot 303 Building Permit Number 0108263 Number of Dwelling Units 1 Number of Structures 1 Fee Required $200.00 Fee Paid Owner's Signature -C Date 5 - 4- /^y Inspector's Signatu Date