HomeMy WebLinkAbout0107863-BuildingOSHKOSH
ON THE WATER
.lob.Address 445WINDINGBROOK DR
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner JEFF KUETHER
Contractor J&V ROBERTS INC - HOME BUILDING
Category 110 - New Single Family
No 107863
Create Date 05/03/2004
Plan F1-039-0404R
Type I(~ Building (~ Sign (~ Canopy (~ Fence ~ Raze
Zoning R-1 Class of Const: 8 Size Irrg
Unfinished/Basement 1218 Sq. Ft. Rooms 8 Height 27 Ft. ~J Projection
Finished/Living 2229 Sq. Ft. Bedrooms 4 Stories 2 Canopies
Garage 748 Sq. Ft. Baths 3 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 2 stow with 3 car attached garage. NO DECK OR PATIO.
of Work
HVAC Contractor AIR TECH HEATING INC Plumbing Contractor MISCHO MECHANICAL
Electric Contractor VAN ERT ELECTRIC
Fees: Valuation $119,000.00 Plan Approval $75.00 Permit Fee Paid $466.00 Park Dedication $200.00
Issued By: Date 05/05/2004 Final/O.P. 00/00/0000
Permit Voided
Parcel Id # 1614401600
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 1425 S WASHBURN ST OSHKOSH WI 54901 - 0000 Telephone Number 920-426-8100
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 T~HE WATE. R
GRADE STAKE FORM
Name JEFF KUETHER Address
Lot 16 Block
Subdivision Sawyer Creek Zone
Street Number Lot Dimensions
445 WINDINGBROOK DR
Grade Stake Number 7149
Create Date 05/03/2004
Ward
Sidewalk Existing
Building Grade Elevation Stakes Set At Site 05/04/2004 Set By D,W.G.
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade~sta.blished before excavation
has commenced.
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0107863
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.
JEFF KUETHER 1425 S WASHBURN ST Oshkosh WI 54904 - 0000
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
J&V ROBERTS INC - HOME BUILDING 7683 1425 S WASHBURN ST OSHKOSH WI 54901 - 0 920-426-8100
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
VAN ERT ELECTRIC 170921 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 920-766-3888 e>
Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
AIR TECH HEATING INC 252739 1305A INDUSTRIAL PKWY FOND DU LACW 54937 - 0 920-924-6742
Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No.
MISCHO MECHANICAL 224856 P O BOX 153 ROSENDALE WI 54974 - 153 920-907-0077
I Lot Area sq. ft. 1/4, 1/4,section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
445 WINDINGBROOK DR Sawyer Creek 16
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 1216 Sq. ft. · Treated Wood [] Municipal air infiltration barrier.
Living Area 2229 Sq. ft. [] 1-Story · Other
Garage 746 Sq. ft. [] 2-Story ~ [] Septic
Permit No. Envelope 36169 BTU/HR
[] Other [] Seasonal Infiltration 22611 BTU/HR
[] Permanent [] Municipal Utility ~ ~ ~i ~ird~ ~
[] Plus Basement [] Other [] Private On-Site Well $135,000.00
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" SHEET
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 JZ
Inspection
Electrical
Wis. Permit Seal $30.00 [~
Plumbing
Date
5/3/O4
Other [] Erosion
Total $105.00 · 306852 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
,Job Address 445 WINDINGBROOK DR
Name JEFF KUETHER
Address 1425 S WASHBURN ST
Subdivision Sawyer Creek
Building Permit Number 0107863
Number of Dwelling Units 1
Fee Required $200.00
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 05/05/2004
Oshkosh WI 54904
Lot 16
Number of Structures
Fee Paid
Owner's Signature
Inspector's Signature
Date
Date