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