HomeMy WebLinkAboutBuilding � CITY OF OSHKOSH No , 713131
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OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD `' ^PF
ON THE WATER ��
Job Address 385 LILAC$T Owner DEWEY HOMES INC Create Date �03/15/2005 ,
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Designer - • Contrector DEWEY HOMES INC '�,
Category 110-New S��ngle Family Plan G1-008-0305 �
Type � Building � Sign � Canopy � Fence 0 Raze �� �
Zoning R-2 Class of Const: VB Size 50'X 42'
UnfinishedlBasement 1108 Sq. Ft. Rooms 3 Height 0 Ft. ❑ Projection
Finished/Living '1108 Sq.Ft. Bedrooms 3 Stories 'I Canopies 0
Garage 528 Sq.Ft. Baths t Signs 0
Foundation � Poured Concrete � Floating Slab 0 Pier � Other
� Concrete Block � Post 0 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 w/att garage,driveway,and 12'x 12'patio as per plans
of Work
HVAC r,ontrector AMERICAN HEATING &A C CO Plumbing Contrector P&S PLUMBING
Electric Contrector CUMINGS ELECTRIC INC
Fees� Valuation ,000.00 Plan Approval $75.00 Permit Fee Paid $355.00 Park Dedication $200.00
lssued By: Date 03/22/2005 FinallO.P. DO/00/0000
� Permit Voided I Parcel Id#0611630200
In the perfortnance of this work I agree to pertorm all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authorily 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 Ciry shongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 1941 BEECH ST OSHKOSH WI 54901 - 0000 Tetephone Number 920-2313389
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. I
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OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number
7248
Name DEWEY HOMES INC
Address
385 LILAC ST
Create Date 03/15/2005
Lot
Block
Ward
Subdivision CSM 5121
Zone
Street Number
Lot Dimensions
IRRG
I I Sidewalk Existing
Building Grade Elevation Stakes Set At Site
03/21/2005
Set By
MB BK - 585, P -52
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 Departmentof Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations - �
Safetyand Buildings Division BUILDING PERMIT 0113131 � .
P.o.sox 2sos APPLICATION Parcel No.
� Madisoq WI53701-2509 �
Wisconsin Statues 101.63, 101.73 � �
�PERMIT'RFQUES'TED- ❑� Constr � HVAC � Elec � Plbg �✓ Erosion ❑ Other.
Owners Name � Mailing Address Telephone No.
DEWEY HOMES INC . Oshkosh WI 54901 - 0000 SPEC HOUSE
Contractor: ✓ Con� EIecL] HVAC Plbg LiGCert# Mailing Address Telephone No.
DEWEYHOMESINC 250178 1941BEECHST OSHKOSH WI 54901 -0 920-2313389
Contractor: Con ✓ Elec HVAC Plbg LidCert# Mailing Address Telephone No.
CUMINGS ELECTRIC INC 170792 PO BOX 749 NEENAH WI 54957 -749 920-722-1240
Contractor: Con Elec ✓ HVAC Plbg Lic/Cert# Mailing Address Telephone No.
MERICAN HEATING &A C CO 6356 112g MICHIGAN AVE OSHKOSH WI 54902 -0 235-8090
Contractor: Con Elec HVAC ✓ Plbg LiGCert# Mailing Address Telephone No.
P&S PLUMBING PO BOX 2153 APPLETON WI 54912 -2153 920-722-5035,£
PRWECTLOCATION �otnrea S .ft. 1/4, 1/4,Section ,T N,R e(or)w
Bwlding Address Subdivision Name Lot No. Block No.
385 LILAC ST CSM 5121 1
Zoning District(s) Zoning Permit No. Front Rear Left Right
� .��PR0.IECT= 3.00CUPANCY_���- .EIECTRICA�;�� ::HVAG:EQUIPMENT�� �2:ENERGY�SOURCEz�=�
� NeW ❑ Repair � Single Family Entrance Panel ✓ Forced Air Furnace Nat. L.P. Oil Elec. Solid Sola
� Alteration B Two Family Size: 200 am ❑ Radiant Baseboard or Panel Fuel Gas
� Raze
� Addition Garage Service: � Heat Pump Space Htg � ❑ ❑ ❑ ❑ ❑
❑ M°�e ❑ Other(print): � Overhead goiler Water Htg � � � � � �
❑✓ Underground �
� Other: � Central Air Conditioning ' Dwelling unit will have 3 kilowatt or �
. .-0ONST.TYPE��� .FOUNDqT10N�. Other more installed electric space heating equip. I,
.AREAINV9LVED�: �✓ Site Constructed Concrete i0.'PLUMBING;���: Infltration control option is:❑ Full sealing
Unfinished ❑ Manufactured ❑ Masonry
� Treated Wood Sewer ofjoints. � Blower door test. ❑ Extenor
Basement '1108 Sq.k. � :-STORIES��:-�� 0 Municipal air infilhation barrier.
Living Area 1108 Sq.ft � �-Story ❑ Other � Septic 3::HEAL LOSS Calculated
� 2-Stary .USE=- Permit No. Envelope 18295 BTU/HR
Garage 528 gq,n, � Seasonal
� Other 11.WATER'-'�. �. InfRration_ 13562gTU/HR
0 Permanent O Municipal Utility 4.EST:BUILDING COST-
� Plus Basement ❑ Other � Private On-Site Well $130,000.00
The applicant agrees to compty with all applicable wdes,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 theAep�rtmertf or municipality;and certifes that all the above information s accurete.
APPLICANT'S SIGNATURE � ��j�''/—t� � DATE SIGNED �
APPROVAL CONDITIONS This permit is is d pursuant to the following conditions. Failure to wmply may result in suspension or
revocation.o � is permit or other penalty
See Plan Review
SS�IflG :"c ❑ Town � Village �✓ City � County State of: Municipality Number of Dwelling Location:
URISDI��ON ;: City Of Oshkosh 7 0 - 2 6 6
FEES:�:�: ERMIT(S�§ IS UNIFORM��:PERfiAI ERMIT,ISSUEQ BY:
_____--
SSUE �.� "SEACNO:
Plan Review $75.00 � COnStfUC[ion
Inspection HVAC Name Brian Noe
Electrical
Wis. Permit Seal $30.00 � p�umbing Date 3/15/05
other 0 Erosion
Total $105.00 ❑ 326584 Cert. No. 70266
SBD-5823(R.07/92)
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OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
385 LILAC ST
Date 03/22/2005
Name
DEWEY HOMES INC
Address
Oshkosh
WI
54901
Subdivision CSM 5121
Lot 1
Building Permit Number
0113131
Number of Dwelling Units
Number of Structures
Fee Required
$200.00
Fee Paid
Owner's Signature
Date
Inspector's Signature
Date
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DISCLAIMER
Thôs map is neither a legally reeerded map nor
a sorvey and it Õ5 oot ioteoded to he used as one.
This drawing is a .ompitatioo or reeords, dala
aod ioronoatioo Iocaled io various city, eoonty
and state omees aod other ..0= affecting
the area shown and it Õ5 to he used ror rerereoee
porposes ooly- The City orOshkosh is no' re-
spoosible ror aoy inacco...cões herein eonWned.
tr diserepeocies are roood, please eontact 'he
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385 Lilac 8t Lot 1
City of Oshkosh Wisconsin
Community Development
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Created bv - 01 3/11/05