HomeMy WebLinkAbout0109585-BuildingOSHKOSH
ON THE WATER
.lob Address 3970 SANDHILL CT
Designer James Kubasta
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner CLASSIC HOMES BY KUBA
Contractor CLASSIC HOMES BY KUBA LTD
Category 110 - New Single Family
No 109585
Create Date 07/16/2004
Plan F1-073-0704R
Type IO Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning R-1 Class of Const: VB Size IRRG
Unfinished/Basement 2317 Sq. Ft. Rooms 3 Height 18 Ft. L~ Projection J
Finished/Living 2317 Sq. Ft. Bedrooms 3 Stories 1 Canopies 0
Garage 642 Sq. Ft. Baths 6 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 home, 2 car attached garage and 16' x 16' patio. Maximum width of driveway at property line is 24 feet.
of Work
HVAC Contractor BREWER HEATING Plumbing Contractor HANSON QUALITY PLUMBING
Electric Contractor SCHOMMER ELECTRICAL CONTRACTING I
Fees: Valuation $159,000.00 Plan Approval $75.00 Permit Fee Paid $586.00 Park Dedication $200.00
Issued By: Date 07/26/2004 Final/O.P. 00/00/0000
Permit Voided
Parcel Id # 1281180000
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 199 CHERRY PARK CT
Agent/Owner
OSHKOSH
WI 54902 - 0000 Telephone Number
426-8600/203-8600
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 CLASSIC HOMES BY KUBA
GRADE STAKE FORM
Address 3970 SANDHILL CT
Lot 18 Block
Subdivision North Shore Preserve Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 07/19/2004 Set By
Grade Stake Number 7182
Create Date 07/16/2004
Ward
D.W.G. BK-598, P- 39
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 o1o9585
P.e. 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.
CLASSIC HOMES BY KUBA Oshkosh WI 54901 - 0000
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
CLASSIC HOMES BY KUBA LTD 7891 199 CHERRY PARK CT OSHKOSH WI 54902 - 0 426-8600/203-81
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
SCHeMMER ELECTRICAL CONTRACTING INC 170465 N164 TWO MILE RD APPLETON WI 54914 - 9121 920-731-2299
Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
BREWER HEATING 4220 N8804 N DOUGLAS ST RIPEN W 54971 - 0 920-748-6494
Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No.
HANSON QUALITY PLUMBING .550 N BLUEMOUND RD APPLETON WI 54914 - 0 730-0205
Lot Area Sq. ft. 1/4, 1/4, Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
3970 SANDHILL CT North Shore Preserve 18
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 2317 Sq. ft. ~{~ ~ ~Ri~ <:~ Treated Wood [] Municipal air infiltration barrier.
Other
Living Area 2317 Sq. ft. [] 1-Story [] Septic
Garage 642 Sq. ft. [] 2-Story x8 ~ ~[] Seasonal
Permit No. Envelope 47417 BTU/HR
[] Other Infiltration 17725 BTU/HR
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $240,000.00
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 plan 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
7/22/2004
Other [] Erosion
Total $105.00 · 306907 Cert. No. 70266
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
.lob Address 3970 SANDHILL CT
Name CLASSIC HOMES BY KUBA
Address
Subdivision North Shore Preserve
Building Permit Number 0109585
Number of Dwelling Units
Fee Required
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 07/26/2004
Oshkosh WI 54901
Lot 18
1 Number of Structures
$200.00 Fee Paid
Owner's Signature
Inspector's Signature
Date
Date
3ul 13 04 Ol:lgp KUBR 920~2~5200 p.2
18
19
L
3970 Sandhill Ct.
City of Oshkosh Wisconsin
Community Development
1" = 30',
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CTcat~l by - djb
06/14/04