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Home My WebLink About0112063 BOSHKOSH ON THE WATER .lob .Address 30 JACOB AVE Designer Ross CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner DONALD GREGORY DOBBERKE Contractor ARISTA CRAFT BUILDERS LLC Category 110 - New Single Family No 112063 Create Date 12/21/2004 Plan F1-124-1104R Type [(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze Zoning R-1 Class of Const: VB Size Unfinished/Basement 1498 Sq. Ft. Rooms 4 Height 0 Ft. ~J Projection Finished/Living 1498 Sq. Ft. Bedrooms 3 Stories 1 Canopies Garage 639 Sq. Ft. Baths 2 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 12' x 12' patio as per site plan. of Work HVAC Contractor TENTH STREET STATION INC Plumbing Contractor WATTERS PLUMBING Electric Contractor VAN ERT ELECTRIC Fees: Valuation $98,700.00 Plan Approval $75.00 Permit Fee Paid $406.00 Park Dedication $200.00 Issued By: Date 12/21/2004 Final/O.P. 00/00/0000 Permit Voided Parcel Id # 146581400 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 3203 MARSH CREEK RD Oshkosh WI 54904 - 0000 Telephone Number 233-0898 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 DONALD GREGORY DOBBERKE GRADE STAKE FORM Address 30 JACOB AVE Lot 14 Block Subdivision Patriarchs Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 12/21/2004 Set By Grade Stake Number 7237 Create Date 12/21/2004 Ward IRRG / Corner ~J 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 0112063 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. DONALD GREGORY DOBBERKE 328 MARSH CREEK RD Oshkosh WI 54901 - 0000 spec house Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No. ARISTA CRAFT BUILDERS LLC 884553 3203 MARSH CREEK RD Oshkosh WI 54904 - 0 233-0898 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. TENTH STREET STATION INC 3615 924 OHIO STREET OSHKOSH W 54902 - 0 236-8770 Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No. WATTERS PLUMBING PO BOX 118 MENASHA WI 54952 - 118 920-733-8125 I Lot Area sq. ft. 1/4, 1/4,section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 30 JACOB AVE Patriarchs 14 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 1498 Sq. ft. · Treated Wood [] Municipal air infiltration barrier. Living Area 1498 Sq. ft. [] 1-Story · Other Garage 639 Sq. ft. [] 2-Story ~ [] Septic Permit No. Envelope 22929 BTU/HR [] Other [] Seasonal Infiltration 10314 BTU/HR [] Permanent [] Municipal Utility ~ ~ ~i ~ird~ ~ [] Plus Basement [] Other [] Private On-Site Well $152,900.00 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 12/21/04 Other [] Erosion Total $105.00 · 326577 Cert. No. 70266 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER Job Address Name Address Subdivision Patriarchs Building Permit Number Number of Dwelling Units Fee Required PARKLAND DEDICATION FEE COLLECTION RECORD 30 JACOB AVE DONALD GREGORY DOBBERKE 328 MARSH CREEK RD 0112063 1 $200.00 Date 12/21/2004 Oshkosh WI 54901 Lot 14 Number of Structures Fee Paid Owner's Signature Inspector's Signature Date Date 10'-2 1/2" 56'-;5" 85' 18'-8 1/2"~ AREA OUTLINE HOUSE PLAN #RAN- 1498-1104 32,5' GARAGE ORIVEWAY AND GRAVEL ACCESS DRIVE 24' MAX @ LOT UNE W 34.38' LENGTH OF ARC JACOB AVE l~m-o~ ~ JACOB AVE. LOT 14 PATRIARCHS SUBDIVISION ~lte 1'-20'12_2_04 [~;~ae{~ , Aristocroft Builders IIc TEL (m)) 4~-lea