HomeMy WebLinkAbout0116587-Building
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OSHKOSH
ON THE WATER
Job Address 3159 QUAIL RUN DR
CITY OF OSHKOSH
No
116587
BUILDING PERMIT - APPLICATION AND RECORD
OWner ANDREW HOMES INC
Create Date
09/27/2005
Designer
Andrew Homes
Contractor
ANDREW HOMES
Category
110 - New Single Family
Plan G1-54-0905
Type
. Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
R-1
ClassofConst: VB
Size irrg
Unfinished/Basement
~Sq.Ft.
~Sq.Ft.
Rooms
12
Height 32 Ft.
D Projection I
Finished/Living
Bedrooms 3
Stories 2
Canopies 0
Garage
~Sq.Ft.
Baths
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 1
# Structures
-----1
Use/Nature NSFRI New single family w. attached garage and driveway as per plans.
of Work
HVAC Contractor
BREWER HEATING
Plumbing Contractor
WATTERS PLUMBING
Electric Contractor
ZWIERS ELECTRIC INC
Issued By:
$1.000.00 Park Dedication
$200.00
Date 10/03/2005
Final/D.P. 00/00/0000
Parcelld # 0660300000
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 2075 S WASHBURN
AgenVOwner
OSHKOSH
WI 54904 - 8946 Telephone Number
233-7870
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
Name ANDREW HOMES INC
Lot
30
Subdivision 1st add Quail Run Farms
Street Number
Building Grade Elevation Stakes Set At Site
GRADE STAKE FORM
Block
Address 3159 QUAIL RUN DR
Grade Stake Number
7302
Zone
Create Date 09/27/2005
Lot Dimensions
IRRG
09/29/2005
Set By
Ward
I I Sidewalk Existing
D.W.G. BK-607, P-i
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. ~)¡~£)~~
, \ I ~rc.
Wisconsin Department of Industry.
Labor and Human Relations
Safëty and B~ildings Division
P.O. Box 2509
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
0116587
Parcel No.
0 Constr
D HVAC DElee
Mailing Address
D Plbg
0 Erosion
D Other:
RIPON
WI 54971
Telephone No.
WI 54904 - 0000
Telephone No.
WI 54904 - 8946 233-7870
Telephone No.
920-788-2533
Telephone No.
920-748-6494
Telephone No.
-118 920-733-8125
N,R E(or)W
Block No.
-0
Oshkosh
Plbg LiciCert#
3006
Plbg LiciCert#
170545
Pibg LiciCert#
4220
LiciCert #
Mailing Address
2075 S WASHBURN
Mailing Address
N4189 MURPHY RD
Mailing Address
N8804 N DOUGLAS ST
Mailing Address
PO BOX 118
S.~ 1~
Subdivision Name
1st add Quail Run Farms
Front
OSHKOSH
KAUKAUNA WI 54130 -0
Lot Area
MENASHA WI 54952
1/4,Section ,T
Lot No.
30
Left
Right
Building Address
3159 QUAIL RUN DR
Zoning District(s)
Rear
D Repair
D Raze
D Move
" Single Family
EJ Two Family
Garage
D Other (print):
.~t
Entrance Panel
Size:~am
Service:
D Overhead
0 Underground
è
" Forced Air Furnace
D Radiant Baseboard or Panel
D Heat Pump
D Boiler
D Central Air Conditioning
Other
Fuel ~~t. loP. Oil Elec. Solid Sola
Space Htg 0 D D D D D
Water Htg 0 D D D D D
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: 0 Full sealing
of joints. D Biower door test. D Exterior
air Infiltration barrier.
1824 Sq. ft.
3140 Sq. ft.
1031 Sq. ft.
Envelope
Infiitration
~
59932 BTU/HR
29984 BTU/HR
$390,000.00
APPLICANT'S SIGNATURE
DATE SIGNED
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in s spension or
revocation of this permit or other penalty
See Standard Conditions of Approvai - Truss drawings required to be provided prior to RI.
Inspection
Wis. Permit Seal
Other
$30.00
" Construction
HVAC
Electrical
0 Plumbing
0 Erosion
D
Date
10/3/05
Total
SBD-5823 (R. 07/92)
$105.00
70266
Cert. No.
326629
.~.
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Name
3159 QUAIL RUN DR
ANDREW HOMES INC
Date 10/03/2005
Job Address
Address
Oshkosh
WI
54904
Subdivision 1st add Quail Run Farms
Lot 30
Building Permit Number
Number of Dwelling Units
0116587
Number of Structures
Fee Required
$200.00
Fee Paid
OWner's Signature
~bJ~~~))'
Date~
Date
Inspector's Signature
vll,IIJ.LVV) .1:jVnIYI
11V. L%
r, L.
t flRST
SITE PLAN
~OT 30
ADDITION TO QUAIL RUN FARM SUBD
. CITY OF OSHKOSH .
WINNEBAGO COUNTY, WISCONSIN
;ISION
For: Andrew Homes:, [II.c.
nU'AlL -~U1{-. lJ1?1T"l!!
Scale I" = 40' -"'--~' 60' I\IW . -.-t~-
Let Are" = 31,7$9 sq,ft- ----'-- R=2S0, 00 , -------v
.-- A=J8S;'12' .
- CH=N 8{}'Sl'02" E
180.71'
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re;"420.2{}' '--.
:A.= 14.0$',
CÏ!:..,S 68'18'29- E
14.05'
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LEGEND
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N'8"¡'O8'44" ,;
.tE2.57'
NOTE:
Chook Oð",patib;fity with
"'¡$ting o/evo/ions
7$$.6$ PROPOSED FINJSH£J) GRADE ELEVATION
~ PROPOSED GROUND ELEVATION AT FOUNDATioN
~ D/RF:OT/eN Of' PROPCS£D D/WNAGE
a Martenson & Eisele, Inc.
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JIbe"" (920) 731-03Bl p"" (920) 733-SS"
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PRQ,j/!cr NO. 221-384
FlEW SeeK PAGE
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