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HomeMy WebLinkAbout0117565-Building ,,1 e 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 $200.00 Fee Paid Owne~s Signature Bt~ )R>-- Date ~)- Date Inspecto~s Signature 2'o~l2b-'b- .t 1/9"'" CT 9< 8Q<iÍ' ---------------r-'---'------ 22 2 ,$ " :;; '0 ¡:. If) ~ >- <'( "" . v :'. .:¡ '" I- "í I:î 80.74' . ----- TIOs-p¡,-.....ay....._-.-r ......ey-' 1t1o1lOt.-.. "'..... as.... 1"1010 draWÙII: 10 . ....piia.... or.....nts, .ta -""""'--""'-dry,- """I<_"""'~-'-' ""-""""""ü""""",,,,""""'œ ...,..,......,.- ..,..Cityo'"""""';"",,,, spo...Dk for ..y .--rades ....... ....- IrdiM:rq>Ades.rc ...ad, pIeao<"",,'act"" an of 00hk00Ic Lot 21 of Gibson Court ~ N City of Oshkosh Wisconsin A Community Development O~ ..-..."" 1" =30' Create<! by - pI 4/5/05 DISCLAIMER