HomeMy WebLinkAbout0114546-Building
e
OSHKOSH
ON THE WATER
Job Address 2255 HICKORY CT
CITY OF OSHKOSH
No
114546
BUILDING PERMIT - APPLICATION AND RECORD
Owner
CLASSIC HOMES BY KUBA L TO
Create Date
OS/27/2005
Designer
Contractor
CLASSIC HOMES BY KUBA L TO
Category
110 - New Single Family
Plan G1-30-0505
Type
I. Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
R-1
Class of Const:
8
Size Irrg
Unfinished/Basement
1026 Sq.Ft.
~ Sq. Ft.
Rooms 13 Height 24 Ft.
Bedrooms 4 Stories 2
Baths 3
U Projection 1
Finished/Living
Canopies
0
Garage
~ Sq. Ft.
Signs
0
Foundation
. Poured Concrete 0 Floating Slab
0 Concrete Block 0 Post
0 Pier
0 Treated Wood
0 Other
Occupancy Permit
Required
Flood Plain No
Height Permit Not Required
Park Dedication
Required
# Dwelling Units
# Structures
NSFR/ New 2 story with 2 car attached garage. NO DECKS OR PATIOS.
Use/Nature
of Work
HVAC Contractor
BREWER HEATING
Plumbing Contractor
HANSON QUALITY PLUMBING
Electric Contractor
SCHOMMER ELECTRICAL CONTRACTING I
Fees: Valuation
$270,000.00
Plan Approval
$75.00 Permit Fee Paid
$919.00 Park Dedication
$200.00
Issued By:
Date 06/09/2005
Final/O.P. 00/00/0000
U Permit Voided 1
Parcelld # 1526190400
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
Address
PO BOX 738
Agent/Owner
OSHKOSH
WI 54903 - 0738 Telephone Number
426-8600
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.
e
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number
7275
Name CLASSIC HOMES BY KUBA L TO
Address
2255 HICKORY CT
Create Date OS/27/2005
Lot
291
Block
Ward
Subdivision
Zone
Street Number
2255 HICKORY CT
Lot Dimensions
1,1"1 Sidewalk Existing
Building Grade Elevation Stakes Set At Site
OS/27/2005
Set By
EX. SIDEWALK AT BOTH PL
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 ~ivision BUILDING PERMIT 0114546
P.O. Box 2509 APPLICATION Parcel No.
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
RQ PERMIT REQUESTED % 0 Constr D HVAC D Elec D Plbg 0 Erosion D Other:
Owner's Name Mailing Address Telephone No.
CLASSIC HOMES BY KUBA L TO Oshkosh WI 54901 - 0000
Contractor: ~ ConU ElecU HVAC U Plbg Lic/Cert # Mailing Address Telephone No.
CLASSIC HOMES BY KUBA L TO 7891 PO BOX 738 OSHKOSH WI 54903 - 738 426-8600
Contractor: U Con ~ Elec U HVACU Plbg Lic/Cert # Mailing Address Telephone No.
SCHOMMER ELECTRICAL CONTRACTING INC 170465 N164 TWO MILE RO APPLETON WI 54914 - 9121 920-731-2299
Contractor: U Con U Elec ~ HVAC D Plbg Lic/Cert # Mailing Address Telephone No.
BREWER HEATING 4220 N8804 N DOUGLAS ST RIPON W 54971 -0 920-748-6494
Contractor: U Con D Elec D HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No.
HANSON QUALITY PLUMBING 550 N BLUEMOUNO RO APPLETON WI54914 -0 730-0205
~ PROJECT LOCATION Ç Lot Area Sq. ft. 1/4, 1/4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
2255 HICKORY CT 291
Zoning Oistrict(s) Zoning Permit No. Front I Rear Left Right
Setbacks ft. ft. ft. ft.
1)1. PROJECT 3. OCCUPANCY >0< x6. ELECTRICAL <: 9. HVAC EQUIPMENT xxx 12. ENERGY SOURCE
~ New D Repair 0 Single Family Entrance Panel l"':J Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola
D Alteration D Two Family D Radiant Baseboard or Panel Gas *
D Raze Size: 200 amp
D Addition D Garage Service: D Heat Pump Space Htg 0 D D D D D
D Move D Other (print): D Overhead D Boiler Water Htg 0 D D D D D
D Other: 0 Underground D Central Air Conditioning * U Dwelling unit will have 3 kilowatt or
IX4. CONST. TYPE 6< x7. FOUNDATION ~ pOther -
more installed electric space heating equip.
þ<2. AREA INVOLVED 0 Site Constructed U Concrete ><10. PLUMBING Infiltration control option is: D Full sealing
Unfinished D Manufactured D Masonry Sewer of joints. D Blower door test. D Exterior
Basement 1026 Sq.ft. )(5. STORIES <SXX() D Treated Wood 0 Municipal air infiltration barrier.
D 1-Story D Other D Septic 1><13. HEAT LOSS (Calculated)
Living Area 3018 Sq.ft.
0 2-Story x8. USE Permit No. Envelope 37309 BTU/HR
Garage 800 Sq. ft. D Other D Seasonal )<11. WATER Infiltration 20710 BTU/HR
0 Permanent 0 Municipal Utility þ<14. EST. BUILDING COST
D Plus Basement D Other D Private On-Site Well $330,000.00
The applicant aç¡rees 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
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
SEE" STANDARD CONDITIONS OF APPROVAL" SHEET
D Town D Village 0 City D County U State of: Municipality Number of Dwelling Location:
ISSUING
. x x x x City Of Oshkosh 7 a 2 6 6
JURISDICTION -
xx xx ~~ xxx xxx xxx xxx
FEES: ~~~~~"!"!~) WIS. UNIFORM PERMIT PERMIT ISSUED BY:
nnnnnn,
^ ^ ISSUED SEAL NO. ^ ^ ^ ^ ^ ^
Plan Review $75.00 EI Co",""c!;oc
HVAC Name JOHN ZARATE
Inspection Electrical
Wis. Permit Seal $30.00 D Plumbing Date 6/7/2005
Other 0 Erosion
Total $105.00 D 326647 Cert. No. 70330
SBO-5823 (R. 07/92)
e
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
2255 HICKORY CT
Date 06/09/2005
Name
CLASSIC HOMES BY KUBA L TO
Address
Oshkosh
WI
54901
Subdivision
Lot 291
Building Permit Number
0114546
Number of Dwelling Units
Number of Structures
Fee Required
$200.00
Fee Paid
Owner's Signature
Date
Inspector's Signature
Date
~
/j
~
1-
~'þ/
/
/
N
en
cr5
CD
..._'n'.......
\143.83' .
29\
\
n-.-n
\,
\
Lot 291
11 th Add North Poi!
N
w-+"
s
O./BKOfti.
ON THE WAT",
City of Oshkosh WisconÅ¡ù
ColTl,munity Development .
DiSCLAIMER
ThIs map b nn;the, a Ingally r"a,dnd map aor
a ,"my and II Is nallalnaded la hna"d.. a""
This d..whog Is a ,amplla"an nr",o"ds, d'.a.
",d I"ra'm,tlan la,"ed la vm'ia", city, ,aunty
and "", afn"s and orhoc ,au"" "f"tlng
110, am shaw. ,.d ;tIs 10 he u"d for "rere."
Im'p.",au!y. ThnCltynrOshkashlsnnl'..
spnns!h!e for auy "o",u","" he"i. ".,,1..'. -
If di",np.."""" found, pIn." "ntoe< the
CIty .fOshlrosh.
1" = 30'
3/10/05
Created by - pI