HomeMy WebLinkAbout0109867-BuildingOSHKOSH
ON THE WATER
.lob Address 2733 MINERVA ST
Designer Ben Stellmacher
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner DEWEY HOMES INC
Contractor DEWEY HOMES INC
Category 110 - New Single Family
No 109867
Create Date 08/05/2004
Plan F1-080-0704R
Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning R-2 Class of Const: VB Size 42'x50'
Unfinished/Basement 1108 Sq. Ft. Rooms 3 Height 16 Ft. ~J Projection
Finished/Living 1108 Sq. Ft. Bedrooms 3 Stories 1 Canopies
Garage 578 Sq. Ft. Baths 1 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 with attached garage & driveway and 14' x 20' 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 08/08/2004 Final/O.P. 00/00/0000
Parcel Id # 1230170000
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 INC
GRADE STAKE FORM
Address 2733 MINERVA ST
Lot 117 Block
Subdivision 2nd add Rusch Kinast Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 08/05/2004 Set By
Grade Stake Number 7190
Create Date 08/05/2004
Ward
75' x 120' ~J Sidewalk Existing
D.W.G. BK-598, P-53
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 0109867
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 INC 1941 BEECH ST Oshkosh WI 54901 - 0000 231-3389
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 1129 MICHIGAN AVE OSHKOSH W 54902 - 0 235-8090
Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No.
P&S PLUMBING PO BOX2153 APPLETON WI 54912 -2153 920-722-5035, 9:
I Lot Area sq. ft. 1/4, 1/4,section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
2733 MINERVA ST 2nd add Rusch Kinast 117
Zoning District(s) Zoning Permit No. Front ft. Rear Left Right
Setbacks ft. ft ft
~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 [] [] [] [] [] []
[] 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 1108 Sq. ft. · Treated Wood [] Municipal air infiltration barrier.
Living Area 1108 Sq. ft. [] 1-Story · Other
Garage 576 Sq. ft. [] 2-Story ~ [] Septic
Permit No. Envelope 18292 BTU/HR
[] Other [] Seasonal Infiltration 13562 BTU/HR
[] Permanent [] Municipal Utility ~ ~ ~i ~ird~ ~
[] 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
I~I1'-,1~ [] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location:
~i~Bi~l~N City Of Oshkosh 7 0 - 2 6 6
~ Construction
Plan Review $75.00 _
HVAC Name Brian NoB
Inspection
Electrical
Wis. Permit Seal $30.00 [~
Plumbing
Date
8/5/O4
Other [] Erosion
Total $105.00 · 306922 Cert. No. 70266
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
.lob Address 2733 MINERVA ST
Name
Address 1941 BEECH ST
Subdivision 2nd add Rusch Kinast
Building Permit Number
Number of Dwelling Units
Fee Required
PARKLAND DEDICATION FEE COLLECTION RECORD
DEWEY HOMES INC
0109867
1
$200.00
Date 08/06/2004
Oshkosh WI 54901
Lot 117
Number of Structures
Fee Paid
Owner's Signature
Inspector's Signature
Date
Date