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HomeMy WebLinkAbout0103791-BuildingOSHKOSH ON THE WATER Name SHOWCASE CUSTOM HOMES GRADE STAKE FORM Address 4045 GREENBRIAR CT Lot 77 Block Subdivision North Park Estates Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 08/18/2003 Set By Grade Stake Number 7019 Create Date 08/18/2003 Ward D.W.G. BK- 590, P- 58 LL Sidewalk Existing Department of Public Works I, the undersigned, owner or agent of the above described property agree to have_the grade estabrished before excavation has comr enced. Wisconsin Department of Industry, Labor and Human Relations Safety and Buildings Division P.O. Box 2509 Madison, Wi 53701-2509 Wisconsin Statues 101.63. 101.73 WISCONSIN UNIFORM BUILDING PERMIT APPLICATION Application No. 0103791 Parcel No. Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other: Owner's Name Mailing Address Telephone No. SHOWCASE CUSTOM HOMES 2755 ALOGOMA BLVD Oshkosh WI 54901 - 0000 Contracfar:'~ Con[] LicJCert # Mailing Address Telephone No. HOMES lNG 2201 2755 ALGOMA BLVD OSHKOSH WI 54901 - 718 235-5610/c-379 Contractor: Lic/Cert # Mailing Address Telephone No. UNKNOWN???? Oshkosh WI 54901 - 0 Contractor: Mailing Address Telephone No. 3REWER HEATING N8804 N DOUGLAS STREET RIPON WI 54971 - 0 Contractor:~ Con Mailing Address Telephone No, P&S PLUMBING APPLETON WI 54913 -0 734-3912 Lot Area 1/4, t/4~Section ,T N,R Building Address Subdivision Name Lot No. Block No, 4045 GREENBRIAR CT North Park Estates 77 Zoning District(s) Zoning Permit No. Front Rear Left New [] Repair Single Family Entrance Panel Forced Air Furnace Fuel [] Alteration [] Raze Two Family Size: __ Radiant Baseboard Garage Service: Heat Pump [] Addition [] Move Other (print): ~ Overhead Boiler [] Other: ~ Underground Central Air Conditioning Dwelling unit will have 3 kilowatt or more nsta ed e ectr c space heatin! [] Site Constructed Concrete Infiltration control o~tion is: [] Infinished [] Manufactured Masonry Sewer of joints. [] Blower door test. Treated Wood Basement 937 Sq. ff. [] Municipal air infiltration bather. , Other 1 -Story Septic Envelope 28473 BTU/HR Living Area 1963 Sq. ff. [] 2-Sfary ~ Seasonal Garage 1008 Sq, ff. [] Other Infiltration 17821 BTU/HR Permanent [] Municipal Utility [] Plus Basement Other [] Private On-Site Well $140.000.00 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, e~p~,~ or impiied,~ t~ Department or municipality; and certifies that all the above informatio/a is a~urate. APPLICANT'S SIGNATURE '/~ ,~,~/~~/'L''~'~''-' DATE SIGNED ~//,~, f~/~" ~ ~klnlTIt'~hJf~ ~h~ permit is issued pursuant to the following conditions. Failure to comply may result in suspension or APPRvVAL ............ revocation of this permit or other penalty SEE "STANDARD CONDITIONS OF APPROVAL" SHEET [] Village [] City [] County State of: Municipality Number of Dwelling Location: City Of Oshkosh 7 0 2 6 6 Plan Review $75.00 Construction HVAC Name John Zarate Inspection Electrical Wis, Permit Seal $30.00 Plumbing Date 8/18/03 Other Erosion Total $105,00 292171 Cert. No. 70330 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER Job Address Name Address 4045 GREENBRIAR CT SHOWCASE CUSTOM HOMES 2755 ALOGOMA BLVD PARKLAND DEDICATION FEE COLLECTION RECORD Date 08/28/2003 Oshkosh WI 54901 Date Date Subdivision North Park Estates Building Permit Number 0103791 Number of Dwelling Units Fee Required $100.00 Owner's Signature ¢_~ ~';~ ,~ Inspector's Signature Lot 77 Number of Structures Fee Paid