HomeMy WebLinkAbout0109310-BuildingOSHKOSH
ON THE WATER
.lob Address 2723 MINERVA ST
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner DEWEY HOMES
Contractor DEWEY HOMES INC
Category 110 - New Single Family
No 109310
Create Date 07/12/2004
Plan F1-070-0704R
Type IO Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning R-1 Class of Const: VB Size 42.5'x47.75'
Unfinished/Basement 1122 Sq. Ft. Rooms 3 Height 18 Ft. ~ Projection 1
Finished/Living 1122 Sq. Ft. Bedrooms 3 Stories 1 Canopies 0
Garage 528 Sq. Ft. Baths 1 Signs 0
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' x 12' patio as per plans
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
AMERICAN HEATING & A C CO
CUMINGS ELECTRIC INC
Plumbing Contractor P&S PLUMBING
$81,000.00 Plan Approval $75.00 Permit Fee Paid
Permit Voided
$352.00 Park Dedication $200.00
Date 07/13/2004 Final/O.P. 00/00/0000
Parcel Id # 123018000
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 3876 PURPLE CREST 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.
OSHKOSH
ON THE WATER
Name DEWEY HOMES
GRADE STAKE FORM
Address 2723 MINERVA ST
Lot 118 Block
Subdivision 2nd add Rusch & Kinast Plat Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 07/12/2004 Set By
Grade Stake Number 7180
Create Date 07/12/2004
Ward
75' x 120' ~J 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 0109310
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.
DEWEY HOMES Oshkosh WI 54901 - 0000
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
DEWEY HOMES INC 250178 3876 PURPLE CREST DR OSHKOSH WI 54901 - 8212 920-231-3389
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
CUMINGS ELECTRIC INC 170792 PO BOX749 NEENAH WI 54957 - 749 920-722-1240
Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
AMERICAN HEATING & A C CO 6356 129 MICHIGAN AVE OSHKOSH W 54902 - 0 235-8090
Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No.
P&S PLUMBING ~O 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.
2723 MINERVA ST 2nd add Rusch & Kinast Plat 118
Zoning District(s) Zoning Permit No. Front Rear Left Right
Setbacks ft. ft. ft ft.
L~J New [] Repair [] Single Family Entrance Panel L~J Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Solar
[] 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
[] Other: [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or
[] Other = more installed electric space heating equip.
<.2 ~RI~ i~E.D ~ [] Site Constructed ~ Concrete Infiltration control option is: [] Full sealing
Unfinished [] Manufactured · Masonry Sewer of joints. [] Blower door test. [] Exterior
Basement 1122 Sq. ft. ~{~ ~ ~Ri~ <:~ ~ Treated Wood [] Municipal air infiltration barrier.
Other
Living Area 1122 Sq. ft. [] 1-Story [] Septic
Garage 528 Sq. ft. [] 2-Story x8 ~ ~[] Seasonal
Permit No. Envelope 18967 BTU/HR
[] Other Infiltration 13782 BTU/HR
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $129,000.00
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
[] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 2 6 6
,/ Construction
Plan Review $75.00 _
HVAC Name Brian Hoe
Inspection
Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 7/12/2004
Other [] Erosion
Total $105.00 · 306904 Cert. No. 70266
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
,Job Address 2723 MINERVA ST
Name DEWEY HOMES
Address
Subdivision 2nd add Rusch & Kinast Plat
Building Permit Number 0109310
Number of Dwelling Units
Fee Required
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 07/13/2004
Oshkosh WI 54901
Lot 118
1 Number of Structures
$200.00 Fee Paid
Owner's Signature
Inspector's Signature
Date
Date
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