HomeMy WebLinkAbout0109495-BuildingOSHKOSH
ON THE WATER
.lob Address 2370 HICKORY CT
Designer Fox Cities
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner FOX CITIES CONSTRUCTION
Contractor FOX CITIES CONST CORP
Category 110 - New Single Family
No 109495
Create Date 07/20/2004
Plan F1-075-0704R
Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning R-1 Class of Const: VB Size
Unfinished/Basement 1053 Sq. Ft. Rooms 3 Height 27 Ft. ~J Projection
Finished/Living 2037 Sq. Ft. Bedrooms 3 Stories 2 Canopies
Garage 754 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 NSFR/New Single Family Residence with attached garage, driveway, and 12' xl 2' patio as per plans.
of Work
HVAC Contractor MCM AIR INC
Electric Contractor SCHAFER ELECTRIC INC
Fees: Valuation $156,200.00 Plan Approval
Issued By:
Plumbing Contractor JIM'S PLUMBING & HEATING INC
$75.00 Permit Fee Paid
Permit Voided
$580.00 Park Dedication $200.00
Date 07/22/2004 Final/O.P. 00/00/0000
Parcel Id # 1526191700
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
Agent/Owner
Address 4614 RED FOX RD OSHKOSH WI 54904 - 0000 Telephone Number 235-8008
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 FOX CITIES CONSTRUCTION
GRADE STAKE FORM
Address 2370 HICKORY CT
Lot 304 Block
Subdivision 11th Add North Point Plat Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 07/21/2004 Set By
Grade Stake Number 7185
Create Date 07/20/2004
Ward
Irrg ~J Sidewalk Existing
D.W.G. BK- 598, P - 41
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 0109495
P.a. 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.
FOX CITIES CONSTRUCTION Oshkosh WI 54903 - 0000
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
FOX CITIES CaNST CaRP 305 4614 RED FOX RD OSHKOSH WI 54904 - 0 235-8008
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
SCHAFER ELECTRIC INC 6364 COUNTY ROAD A NEENAH WI 54956 - 0 920-725-2031
Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
MCM AIR INC 4264 6122 COUNTY ROAD M WINNECaNNfW 54986 - 9780 920-582-4402
Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No.
JIM'S PLUMBING & HEATING INC W6166 GREENVILLE DR GREENVILLE WI 54942 - 0 920-757-5258
I Lot Area Sq. ft. 1/4, 1/4, Section , T N, R E(or)W
Building Address Subdivision Name Lot No. Block No.
2370 HICKORY CT 11th Add North Point Plat 304
Zoning District(s) lZoning Permit No. Front Rear Left Right
J __Setbacks ft ......... _f_t_: ft ft
, .,.,~= ~=u~,~E. --~ ~r~-,, ~ ..............................
L~J New [] Repair [] Single Family Entrance Panel L~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 [] [] [] [] [] []
[] Other: [] Underground [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or
] 8~l~,lS~ ~Y~E ~ f~OND~ION [] Other = more installed electric space heating equip.
[] Site Constructed · Concrete - Infiltration control option is: [] Full sealing
Unfinished [] Manufactured · Masonry Sewer of joints. [] Blower door test. [] Exterior
Basement 1053 Sq. ft. S 8~IES · Treated Wood [] Municipal air infiltration barrier.
Living Area 2037 Sq. ft. [] 1-Story · Other [] Septic
[] 2-Story Permit No. Envelope 32003 BTU/HR
Garage 754 Sq. ft. [] Other [] Seasonal Infiltration 18769 BTU/HR
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $210,400.00
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@@@@Safety Glass req at tub and stairway windows.
[] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location:
~B~I~BIB~IOI~,J City Of Oshkosh 7 0 - 2 6 6
~IS UN!EORIVl ~ERMI~ ~ERIVlI~ iSSUED B~
~SS=E= SE~ Ne
~ Construction
Plan Review $75.00 _
HVAC Name Brian NoB
Inspection
Electrical
Wis. Permit Seal $30.00
Plumbing
Date
7/22/04
Other [] Erosion
Total $105.00 · 306909 Cert. No. 70266
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
,Job Address 2370 HICKORY CT
Name
Address
Subdivision 11th Add North Point Plat
Building Permit Number 0109495
Number of Dwelling Units
Fee Required
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 07/22/2004
FOX CITIES CONSTRUCTION
Oshkosh WI 54903
Lot 304
1 Number of Structures
$200.00 Fee Paid
Owner's Signature
Inspector's Signature
Date
Date
IT1