HomeMy WebLinkAbout0117565-Building
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OSHKOSH
ON THE WATER
Job Address 85 GIBSON CT
CITY OF OSHKOSH
No
117565
BUILDING PERMIT. APPLICATION AND RECORD
Owner CHADD HUISMAN
Create Date
12/05/2005
Designer
Contractor
HUISMAN HOMES
Category
110 - New Single Family
Plan 63-1205
Type
. Building
0 Sign
0 Canopy 0 Fence 0 Raze
Class of Const: 8
Rooms 4 Height 21 Ft.
Bedrooms 3 Stories 1
Baths 2
Size irr
Zoning
R-1
Unfinished/Basement
~Sq.Ft.
1425 Sq. Ft.
D Projection I
Finished/Living
Canopies
0
Garage
~Sq.Ft.
Signs
---------.2.
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
Use/Nature NSFR/1 story home with a 2 car attached garage, 12'x12' patio.
of Work
HVAC Contractor
THOMPSON HEATING AND COOLING SER\
JK ELECTRIC
Plumbing Contractor
P&S PLUMBING
Electric Contractor
Plan Approval
$75.00 Permit Fee Paid
$451.00 Park Dedication
$200.00
Issued By:
Date 12/12/2005
Final/D.P. 00/00/0000
D Permit Voided I
Parcelld # 1413345400
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 nece ary approvals before starting such activity.
Date Y¡)-fZ--o
(
AgenUOWner
Signature
OSHKOSH
WI 54901 - 0000 Telephone Number
426-1003
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
7315
Name CHADD HUiSMAN
Address 85 GIBSON CT
Create Date 12/05/2005
Lot
21
Block
Ward
Subdivision Stoney beach West
Zone
Street Number
Lot Dimensions
I I Sidewalk Existing
Building Grade Elevation Stakes Set At Site
12/05/2005
Set By
D.W.G.
BK-607, P-21
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. ~ ~ .
P ¡¡¡('Z/6~
'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.
0117565
Parcei No.
~ Constr
D HVAC DElee
Mailing Address
3342 LOUISE CT
Mailing Address
3342 LOUISE CT
Mailing Address
E9102 MANSKE RD
Mailin9 Address
901 OTTER
Mailing Address
PO BOX 2153
D Plbg
~ Erosion
D Other:
OSHKOSH
WI 54901
Telephone No.
WI 54901 - 0000 426-1003
Telephone No.
426-1003
Telephone No.
920-982-7848
Telephone No.
920-426-3095
Telephone No.
WI54912 -2153 920-722-5035,9
N,R E(or)W
Block No.
WI 54901 - 0
Oshkosh
OSHKOSH
NEW LONDm WI 54961 - 0
-0
Lot Area
S . ft.
Subdivision Name
Stoney beach West
1/4,
APPLETON
1/4,Section
Lot No.
21
Rear Left
,T
Building Address
85 GIBSON CT
Zoning District(s)
D Repair
D Raze
D Move
Front
Right
New
D Alteration
D Addition
Forced Air Furnace
D Radiant Baseboard or Panel
D Heat Pump
D Boiler
~ Central Air Conditioning
Other
Fuel Ga loP. Oil Elec. Solid Sola
SpaceHtgD D D D D D
WaterHtg ~ D D D D D
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiitration control option is: D Full sealing
of joints. D Blower door test. D Exterior
air infiltration barrier.
D Other:
Unfinished
Basement ~ Sq. ft.
Living Area 1425 Sq. ft.
Garage 651 Sq. ft.
1:
23549 BTUIHR
17381 BTU/HR
~ Municipal Utility
D Plus Basement D Private On-Site Well $165,000.00
The applicant agrees 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 legai 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
Other
Total
SBD-5823 (R. 07/92)
Construction
HVAC
Electrical
0 Plumbing
0 Erosion
D
Date
12/5/05
$105.00
0
Cert. No.
248101
i
e
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
Name
85 GIBSON CT
CHADD HUISMAN
Date 12/12/2005
Address
3342 LOUISE CT
Oshkosh
WI
~
Subdivision Stoney beach West
Lot 21
Building Permit Number
0117565
Number of Dwelling Units
Fee Required
Number of Structures
$200.00
Fee Paid
Owne~s Signature
Bt~ )R>--
Date ~)-
Date
Inspecto~s Signature
2'o~l2b-'b- .t
1/9"'"
CT
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