HomeMy WebLinkAbout0116657 B
e
OSHKOSH
ON THE WATER
Job Address 25JACOB'AVE
CITY OF OSHKOSH
No
116657
BUILDING PERMIT - APPLICATION AND RECORD
Owner GREG DOBBERKE
Create Date
10/06/2005
Designer
Ross Design
Contractor
ARISTA CRAFT BUILDERS LLC
Category
110 - New Single Family
Plan G1-56-1005
Type
. Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
R-1
Class of Const: VB
Size
Unfinished/Basement
~Sq.Ft.
~Sq.Ft.
Rooms
7
Height 18 Ft.
D Projection I
Finished/Living
Bedrooms
Stories 1
Canopies
Garage
~ Sq. Ft.
Baths
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 -----.!
# Structures
-~" r'~'~ '..." fum', -." ~ ~.oo '~œ, ""-, ,", -.. W"""
of Work
~j
HVAC Contractor
TENTH STREET STATION INC
Plumbing Contractor
WATTERS PLUMBING
Electric Contractor
QUANTUM ELECTRICAL SOLUTIONS LLC
Fees: Valuation
$137,615.00 Plan Approval
$75.00 Permit Fee Paid
$523.00 Park Dedication
$200.00
Issued By:
Date 10/07/2005
Final/D.P. 00/00/0000
D Permit Voided i
Parcelld # 1416581500
Lee
Date
/¿l- 7-or
Signature
Address 3203 MARSH CREEK RD
OSHKOSH
'!'!'.- 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
GRADE STAKE FORM
Grade Stake Number
7304
-
Name GREG DOBBERKE
Address 25 JACOB AVE
Create Date 10/06/2005
Lot
15
Block
Ward
Subdivision The Patriachs Subd
Zone
Street Number
Lot Dimensions
Irrg / Corner
I I Sidewalk Existing~
Building Grade Elevation Stakes Set At Site
10/06/2005
Set By
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the
has commenced.
Wisconsin Department of Industry,
Labor and Human Relations
Safety and Buildings Division
P.O. Box 2509
Madison, WI 53701-2509
Wisconsin Statues 101.63. 101.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
0116657
Parcel No.
~ Constr
D HVAC DElee
Mailing Address
D Plbg
~ Erosion
D Other:
Telephone No.
WI 54904 - 0000 Spec House
Telephone No.
233-0898
Teiephone No.
920-757-1343
Telephone No.
236-8770
Telephone No.
WI54952 -118 920-733-8125
Building Address
25 JACOB AVE
Zoning District(s)
.¡' New
D Alteration
D Addition
D Repair
D Raze
D Move
D Other:
Unfinished
Basement 1543 Sq. ft.
LivingArea ~ Sq. ft.
Garage 656 Sq. ft.
Oshkosh
Mailing Address
3203 MARSH CREEK RD
Mailing Address
N1778 REIMER DR
Mailing Address
924 OHIO STREET
Mailing Address
PO BOX 118
MENASHA
OSHKOSH
WI 54904 - 0
GREENVILLE WI 54942 - 0
OSHKOSH
WI 54902
-0
Lot Area
1/4,
1/4,Section
Lot No.
15
Rear Left
S . ft.
Subdivision Name
The Patriachs Subd
.T
N,R E(or)W
Block No.
Zonin9 Permit No.
Front
Right
.¡' Forced Air Furnace
D Radiant Baseboard or Panel
D Heat Pump
D Boiler
Central Air Conditioning
Other
Nat. L.P. Oil Elec. Solid Sola
Ga
SpaceHtg ~ D D D D D
Water Htg ~ D D D D D
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
infiltration control option is: ~ Full sealing
of joints. D Blower door test. D Exterior
air infiltration barrier.
Fuel
27893 BTUlHR
9443 BTU/HR
~ Municipal Utility
D Private On-Site Well $169,900.00
tues and ordinances and with the conditions of this permit, understands that the issuance of
Department or municipality; and certifies th~~;~h~:~v:~nfor7J' l~c~
APPROVAL CONDITIONS Thi ermit 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 - @@@@Soil Stock Pile NOT PERMITTED in drainage easement
APPLICANT'S SIGNATURE
Inspection
Wis. Permit Seal
Other
Total
SBD-5823 (R. 07/92)
$30.00
.¡' Construction
HVAC
Electrical
D Plumbing
~ Erosion
D
326631
Cert. No.
70266
Date
10/6/05
$105.00
e
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
25 JACOB AVE
Date 10/07/2005
Name
GREG DOBBERKE
Address
Oshkosh
WI
54904
Subdivision The Patriachs Subd
Lot 15
Building Permit Number
0116657
Number of Dwelling Units
Number of Structures
Fee Required
Þ
11
Fee Paid
Owner's Signature
Date
/ó- 7- ()[
Inspector's Signature
Date
JACOB AVE
~
ocr 05 2GO5
Q
47'-0"
.
0
~
./
rf>
~
+
2.'5' -0'
58.85'
7'-6"
22.5'
If')
(\
14'
~
PLAN#RAN-1543-805
~
99.04'
I")
HOUSE
\
\
~\
1>1
~
1>1
u..
'.:i
iÍI
\
in .
~ 0
I
If')
\D 112'
I
I .
L7~
MAXIMUN BUILDING
AREA LINE
N
GARAGE
\
l'
\
DRIVEWAY AND
GRAVEL ACCESS DRIVE
24' MAX 0 LOT LINE
\~~E
PATIO
12'
22
\
93.25'
-
~~
NOTE: VERIFY ALL DIMENSIONS TO
LOT LINES FROM HOUSE LAYOUT STAKES
BEFORE STARTING TO INSURE FIT
IS '11£ COII'IRACroR'S RESPOIISIIII.II TO ENSURE PROPER
ROSION CON'IROl B'f USE 01' SR.T FDICING, -- ACCESS
_v OR cmtER APfIII(J';I) - B'f LOC:AL _.
ONSULT I.I..II.R. 2t.l25, !.!.JUt 21.13. HI! LOC:AL IIIJILœG
ISPECrOR FOR - CIUESI1ONS.
....... """'- - JACOB AVE. LOT 15
te: t -:2-05 ~ ARISTACRAFT BUILDERS LLC
SICCICPII.ED sell. MUST BE SEEDED WIllI RYE - OR CO\/ERED
WIllI A _. EROSION CON'IROl StW.L BE IUŒD AT DOlIN SLOPE
01' '11£ STOCIft.E.
~ 2J ~ :I!.:M
'I'lL (8110) 4IIHSIII1