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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 '///I /