HomeMy WebLinkAbout0108429-BuildingOSHKOSH
ON THE WATER
.lob.Address 1055 SUNNYVlEW RD
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner ANDERSON
Contractor MIRACLE HOMES INC
Category 110 - New Single Family
No 108429
Create Date 05/25/2004
Plan F1-O48-O504R
Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning R-1 Class of Const: 8 Size IRRG
Unfinished/Basement 1770 Sq. Ft. Rooms 6 Height 19 Ft. ~ Projection
Finished/Living 1770 Sq. Ft. Bedrooms 3 Stories 1 Canopies
Garage 550 Sq. Ft. Baths 2 Signs
Foundation O Poured Concrete ~ Floating Slab ~ Pier ~ Other
~ Concrete Block ~ Post ~ Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use/Nature SFR/ New single family, 2 car attached garage. No Deck or Patio. The driveway is shown as 12' wide at the front property line.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
BOB'S QUALITY HEATING & A/C INC
UNKNOWN????
Plumbing Contractor UNKNOWN
$142,000.00 Plan Approval $75.00 Permit Fee Paid
Permit Voided
$535.00 Park Dedication $200.00
Date 06/02/2004 Final/O.P. 00/00/0000
Parcel Id # 1560110200
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.
Signature Date
Address 3962 N RICHMOND ST STE D
Agent/Owner
APPLETON
WI 54913 - 0000 Telephone Number
920-730-9091
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.
OSHKOSH
ON THE WATER
Name ANDERSON
GRADE STAKE FORM
Address 1055 SUNNYVIEW RD
Lot 1 of CSM 5432 Block
Subdivision n/a Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 05/27/2004 Set By
D.W.G. BK-596, P-66
Grade Stake Number 7155
Create Date 05/25/2004
Ward
Sidewalk Existing
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
Safety and Buildings Division BUILDING PERMIT 0108429
P.O. Box 2509 APPLICATION Parcel No.
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Owner's Name Mailing Address Telephone No.
ANDERSON 157 W 25TH AVE Oshkosh WI 54901 - 0000
Contractor: ~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
MIRACLE HOMES INC 0728 3962 N RICHMOND ST STE D APPLETON WI 54913 - 0 920-730-9091
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
UNKNOWN???? Oshkosh WI 54901 - 0
Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
MOB'S QUALITY HEATING & A/C INC 3629 123 S RAILROAD KIMBERLY W 54136 - 1828 (920) 788-5091
Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No.
UNKNOWN OSHKOSH WI 54901 - 0
I LotArea Sq. ft. 1/4, 1/4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
1055 SUNNYVlEW RD n/a 1 of CSM 5432
Zoning District(s) Zoning Permit No. Front ft. Rear Left Right
Setbacks ft. ft ft
~R~
~J New [] Repair [] Single Family Entrance Panel ~J Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola
[] Alteration [] Raze [] Two Family Size: 200 amp [] Radiant Baseboard or Panel Gas ,
[] Addition [] Garage Service: [] Heat Pump Space Htg [] [] [] [] [] []
[] Move [] Other (print): [] Overhead
[] Boiler Water Htg [] [] [] [] [] []
[] Underground [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or
[] Other: [] Other
[] Site Constructed ~ concrete - more installed electric space heating equip.
Infiltration control option is: [] Full sealing
Unfinished [] Manufactured · Masonry Sewer of joints. [] Blower door test. [] Exterior
Basement 1770 Sq. ft. · Treated Wood [] Municipal air infiltration barrier.
Living Area 1770 Sq. ft. [] 1-Story · Other
Garage 580 Sq. ft. [] 2-Story ~ [] Septic
Permit No. Envelope 34192 BTU/HR
[] Other [] Seasonal Infiltration 21665 BTU/HR
[] Permanent [] Municipal Utility ~ ~ ~i ~ird~ ~
[] Plus Basement [] Other [] Private On-Site Well $162,000.00
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 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" SHEET
[] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location:
~l~i~l~r',J City Of Oshkosh 7 0 - 2 6 6
~ Construction
Plan Review $75.00 _
HVAC Name JOHN ZARATE
Inspection
Electrical
Wis. Permit Seal $30.00 [~
Plumbing
Date
5/25/O4
Other [] Erosion
Total $105.00 · 306857 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
,Job Address 1055 SUNNYVlEW RD
Name ANDERSON
Address 157 W 25TH AVE
Subdivision n/a
Building Permit Number 0108429
Number of Dwelling Units 1
Fee Required $200.00
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 06/02/2004
Oshkosh WI 54901
Lot 1 of CSM 5432
Number of Structures
Fee Paid
Owner's Signature
Inspector's Signature
Date
Date
SITE PLAN
CLIENT - ANDERSON, C.
LOT 1 OF CERTIFIED SURVEY MAP NO. 5452 FILED IN THE OFFICE OF THE REGISTER OF
DEEDDS FOR WINNEBAGO COUNY, WISCONSIN IN VOLUME 1 OF CERTIFIED SURVEY MAPS ON
PAGE 5452, AS DOCUMENT NO. 1297517, BEING A PART OF THE FRACTIONAL LOT 1 OF
SECTION 51, T19N, R17E, IN THE CITY OF OSHKOSH, WINNEBAGO COUNTY, WISCONSIN.
For: Miracle Homes, inc.
BEARINGS ARE REFERENCED TO
CERTIFIED SURVEY MAP NO. 5432
LOT AREA = 14,717 SO.FT.
BENCHMARK
BM - TOP OF HUB ELEVATION = 759.27
PROPOSED ELEVATIONS
761.88 PROPOSED TOP OF WALL ELEVATION
76~.55 PROPOSED GROUND ELEVATION AT FOUNDATION
753.88 PROPOSES TOP OF FOOTING ELEVATION
LEGEND
[] 1" IRON PIPE FOUND
POWER POLE
--Ol-P~ OVERHEAD POWER L~NES
--G--G-- UNDERGROUND GAS
O EXIST SANITARY MANHOLE
----- EXIST, SAN. SEWER
~ EXIST. SPOT ELEVATION
--X-- PROPOSED SILT FENCE
BM BENCHMARK
SUNNYVIEW
ROAD
66' RIG
~¢'¢ $ 88°&9'~3'' W 99.?4' x
U NPLAlq'ED LANDS
Martenson & Eisele, Inc.
Planning - Surveyh~ - Engineering - Architecture
1377 Midway Road, Menasha, WI 54952
Phone (920) 731-0381 Fax (920) 733-8578
wv~w.mar tenson-eisele.eom
irffo~mar t enson-eisele.com
~ _N_O_._5_iS_2_
c~
NOTE: 1. THERE ARE NO LATERALS SERVICING THIS LOT
2. THERE ARE NO ADJACENT DWELLINGS
Revised April 29, 2004
PROJECT NO. 221-370
FILE 221370sp.dwg SHEET 1 OF 1
THIS INSTRUMENT WAS DRAFTED BY: A.Sedtar