HomeMy WebLinkAbout0116850-Building
~
OSHKOSH
ON THE WATER
Name W R& S JUGA YHART/K C&M A RASM
Lot
Subdivision
Street Number
Building Grade Elevation Slakes Set At Site
GRADE STAKE FORM
Grade Stake Number
7305
Block
Address 1110-1120BAUMANST
CreateDale 10/11/2005
Zone
Lot Dimensions
10/11/2005
Ward
L I Sidewalk Existing
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. ~ b
y ~ <---~-
v
Set By
. 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
Appiication No.
0116850
Parcei No.
~ Constr
Plbg Lie/Cert#
1126
Pibg Lie/Cert#
0 HVAC 0 Elec
Mailing Address
1920 CLiFFVIEW CT
Mailing Address
1920 CLlFFViEW COURT
Maiiing Address
0 Plbg
~ Erosion
0 Other:
OSHKOSH
Telephone No.
WI 54901 - 0000 Condo
Telephone No.
920-233-0183
Telephone No.
OSHKOSH
WI 54901 - 0
Plbg Lie/Cert # Maiiing Address
-0
Teiephone No.
Plbg Lie/Cert # Maiiing Address
-0
Teiephone No.
Lot Area
S . ft.
Subdivision Name
1/4,
1/4,Section
Lot No.
,T
-0
N,R E(or)W
Biock No.
Rear
Left
Right
0 Other:
Forced Air Furnace
~ Radiant Baseboard or Panei
~ Heat Pump
0 Boiler
Centrai Air Conditioning
Other
Nat. L.P. Oil Eiec. Soiid Sola
Ga
SpaceHtg~ 00 0 0 0
WaterHtg ~ 0 0 0 0 0
Dwelling unit will have 3 kilowatt or
more instailed electric space heating equip.
Infiltration control option is: ~ Fuil seaiing
of joints. 0 Biower door test. 0 Exterior
air infiltration barrier.
Fuel
Unfinished
Basement 0
Living Area 0
Garage 0
Envelope
infiltration
33500 BTU/HR
15312 BTU/HR
0 Seasonal
~ Permanent ~ Municipal Utiiity
0 Plus Basement 0 Other 0 Private On-Site Weil $344,000.00
The appiicant agrees to comply with ail appiicable codes, statues and ordinances and with the conditions of this permit, understands that the issuance of
:~~~~~:~~~; ~I~g:~;~:~ex:ess or impiied, on the Dep ent or mu . ipaiity; and cemfies th~~~;;:~;~nfo:&;P~¡~¿9tÞ
APPROVAL CONDITIONS This permit is issued pur ant to the foil owing conditions. Failure to comply may resuit in suspension or
revocation of this permit or other penalty
See written plan approval letter. Also maintain all required erosion control measures until lawn is fully established.
Inspection
Wis. Permit Seal
Other
Construction
HVAC
Electrical
0 Plumbing
0 Erosion
0
Date
10/11/2005
Total
SBD-5823 (R. 07/92)
$105.00
326626
Cert. No.
70264
-
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
1110-1120 BAUMAN ST
W R& S J U GAYHART/K C&M A RASM
Date 10/18/2005
Name
Address
1920 CLlFFVIEW CT
OSHKOSH
~
~
Subdivision
Lot
Building Permit Number
Number of Dwelling Units
0116850
Number of Structures
Fee Required
$330.00
Fee Paid
Owner's Signature >" '~'~~f ~.
Inspecto~s Signature
Date
Date