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OSHKOSH
ON THE WATER
Job Address 380 LILAC ST
CITY OF OSHKOSH
No
115246
BUILDING PERMIT. APPLICATION AND RECORD
Owner DEWEY HOMES INC
Create Date
07/14/2005
Designer
Contractor
DEWEY HOMES INC
Category
110 - New Single Family
Plan G1-36-0705
Type
. Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
R-1
Class of Const: 8
Size IRR
UnfinishediBasement
~Sq.Ft.
~Sq.Ft.
Rooms
Height 16 Ft.
0 Projection I
Finished/Living
Bedrooms 3
Stories 1
Garage
~Sq.Ft.
Baths
Canopies 0
Signs
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 1
# Structures
---1
Use/Nature NSFR/1 story home with a 2 car attached garage. 14'x12' concrete patio, and driveway.
of Work
HVAC Contractor
AMERICAN HEATING & A C CO
CUMINGS ELECTRIC INC
Plumbing Contractor
P&S PLUMBING
Electric Contractor
Fees: Valuation
$85,000.00 Plan Approval
$75.00 Permit Fee Paid
$364.00 Park Dedication
$200.00
Issued By:
Date 07/18/2005
Final/D.P. 00/00/0000
0 Permit Voided I
Parcelld # 0611630500
In the performance of this work I agree to perform all work pursuant to rules goveming 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
1941 BEECH ST
Agent/Owner
OSHKOSH
WI 54901 - 0000
Telephone Number
920-231-3389
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
Job Address 380 LILAC ST
CITY OF OSHKOSH
No
115246
BUILDING PERMIT - APPLICATION AND RECORD
Owner
DEWEY HOMES INC
Create Date
07/14/2005
Designer
Contractor
DEWEY HOMES INC
Category
110 - New Single Family
Plan P4-49-0705
Type
18 Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
R-1
Class of Const:
8
Size IRR
Unfinished/Basement
1130 Sq.Ft.
~ Sq. Ft.
Rooms
3
Height
16 Ft.
U Projection 1
Finished/Living
Bedrooms
3
Stories 1
Canopies
0
Garage
~ Sq. Ft.
Baths
Signs
0
Foundation
8 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/ 1 story home with a 2 car attached garage, 14'x12' concrete patio, and driveway.
Use/Nature
of Work
HVAC Contractor
AMERICAN HEATING & A C CO
Plumbing Contractor
P&S PLUMBING
Electric Contractor
CUMINGS ELECTRIC INC
Fees: Valuation
$85,000.00
Plan Approval
$75.00 Permit Fee Paid
$364.00 Park Dedication
$200.00
Issued By:
Date 07/18/2005
Final/O.P. 00/00/0000
U Permit Voided 1
Parcelld #
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
1941 BEECH ST
Agent/Owner
OSHKOSH
WI 54901 - 0000 Telephone Number
920-231-3389
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
7282
Name DEWEY HOMES INC
Address
380 LILAC ST
Create Date 07/14/2005
Lot
4
Block
Ward
Subdivision
Zone
Street Number
Lot Dimensions
I I Sidewalk Existing
Building Grade Elevation Stakes Set At Site
07/14/2005
Set By
DW.G. BK - 604, P - 39
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 0115246
P.O. Box 2509 APPLICATION Parcel No.
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
PERMIT REQUESTED 0 Constr D HVAC D Elec D Plbg 0 Erosion D Other:
Owner's Name Mailing Address Telephone No.
DEWEY HOMES INC 1941 BEECH ST Oshkosh WI 54901 - 0000
Contractor: ~ ConU ElecU HVAC U Plbg Lic/Cert # Mailing Address Telephone No.
DEWEY HOMES INC 250178 1941 BEECH ST OSHKOSH WI 54901 - 0 920-231-3389
Contractor: U Con ~ Elec U HVACU Plbg Lic/Cert # Mailing Address Telephone No.
CUMINGS ELECTRIC INC 170792 PO BOX 749 NEENAH WI 54957 - 749 920-231-5946
Contractor: U Con U Elec ~ HVAC D Plbg Lic/Cert # Mailing Address Telephone No.
AMERICAN HEATING & A C CO 6356 1129 MICHIGAN AVE OSHKOSH W 54902 -0 235-8090
Contractor: U Con D Elec D HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No.
P&S PLUMBING PO BOX 2153 APPLETON WI 54912 - 2153 920-722-5035,9
PROJECT LOCATION Lot Area Sa. ft. 1/4, 1/4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
380 LILAC ST 4
Zoning District(s) I Zoning Permit No. Front I Rear Left Right
~ ft. ft. ft. ft.
1. PROJECT 3. OCCUPANCY 9. HVAC EQUIPMENT 12. ENERGY SOURCE
~ New D Repair 0 Single Family Entrance Panel ~ 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 D 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
4. CONST. TYPE 7. FOUNDATION - 0 Other - more installed electric space heating equip.
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 1130 Sq. ft. 5. STORIES D Treated Wood 0 Municipal air infiltration barrier.
Living Area 1130 Sq. ft. 0 1-Story D Other D Septic 13. HEAT LOSS (Calculated)
8. USE
D 2-Story Permit No. Envelope 19996 BTU/HR
Garage 572 Sq. ft. D Other D Seasonal 11. WATER Infiltration 13831 BTU/HR
0 Permanent 0 Municipal Utility 14. EST. BUILDING COST
D Plus Basement D Other D Private On-Site Well $138,000.00
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
Provide a minimum of 8% light for all habitable rooms.
~~S~~ND~CTION D Town D Village 0 City D County U State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 a - 2 6 6
FEES: PERMIT(S) WIS. UNIFORM PERMIT PERMIT ISSUED BY:
ISSUED SEAL NO.
Plan Review $75.00 EI Co",',"dlo"
HVAC Name Nicole Krahn
Inspection Electrical
Wis. Permit Seal $30.00 D Plumbing Date 7/14/05
Other 0 Erosion
Total $105.00 D 326611 Cert. No. 248101
SBD-5823 (R. 07/92)
e
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
380 LILAC ST
Date 07/18/2005
Name
DEWEY HOMES INC
Address
1941 BEECH ST
Oshkosh
WI
54901
Subdivision
Lot 4
Building Permit Number
0115246
Number of Dwelling Units
Number of Structures
Fee Required
$200.00
Fee Paid
Owner's Signature
Date
Inspector's Signature
Date
e~
OSfiKOSH
ON THE WATER
Name DEWEY HOMES INC
ZONING/LAND USE)COMPLIANCE CHECKLIST
í
Address 380 LiLAC ST
Create Date 7/14/05
Construction Data ~onstruction
0 Addition
0 Alteration
Type of Construction (i.e. fence, pool, parking lot, sign, etc. SFR/1 story w/2 car atl gar, patio, driveway
Compliance Checklist
Deficient
Comments
U Use
U Lot Width
U Lot Area
U Lot Area Per Family
U Flood Plain
U Front Yard
U Front Yard Side Street
U Rear Yard
U Side Yard
U Buiiding Area
U Parking Standards
U Off-Street Loading Standards
U Vision Clearance
U Transitional Yard Standards
U Landscape Standards
U Height
U Conditions of Approval
U Compliance with P.C. or BZA Conditions of Approv~
U Signage Standards I
U Drainage Plan - Storm Drainage - City Easements I
Review Authority
As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or designee, must approve all plans,
except the following: (1) Alterations or interior work when the use is conforming and when no change in use is proposed. (2) Maintenance
items, e.g. siding, windows, etc., when the use is conforming and when no change is proposed.
. Approved
0 Denied
I I Plan Commission Action Required
I I Variance(s) Required
Reviewed By
Nicole Krahn
Date
07/14/2005
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DISCLAIMER
Lilac St Lot 4
This map is Doitbor a legally.ecorded map Dor
a su",'y aDd it is DOt iDI'Dded ID be used as one.
This d""ring is a compilalion ofreco_data
~d iDrormatioo _ted in various oily. couoly
and stat, om... aDd otbor SODteeS affecting
tbe area sbown and it is to be used ror refereDce
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