HomeMy WebLinkAbout0117605-Building
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OSHKOSH
ON THE WATER
Job Address 2753 MINERVA ST
CITY OF OSHKOSH
No
117605
BUILDING PERMIT. APPLICATION AND RECORD
Owner DEWEY HOMES
Create Date
12/0812005
Designer
Contractor
DEWEY HOMES INC
Category
110 - New Single Family
Plan 67-1205
Type
. Building
R-2
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
Class of Const: 8
Size IRRG
Garage
~Sq.Ft.
Rooms 6 Height 16 FI.
Bedrooms Stories 1
Baths 2
0 Projection I
Unfinished/Basement
~sq.Ft.
~sq.Ft.
Canopies 0
Finished/Living
Signs
~
Foundation
. Poured Concrete 0 Floating Slab
0 Concrete Biock 0 Post
0 Pier
0 Treated Wood
0 Other
Occupancy Penmit Required
Flood Plain No
Height Penmit Not Required
Park Dedication
Required
# Dwelling Units 1
# Structures
Use/Nature NSFRI New single family single story ranch with 2 car attached garage and 14' x 14' patio driveway wiil be 22' wide.
ofWork
Plumbing Contractor
P&S PLUMBING
HVAC Contractor
AMERiCAN HEATING & A C CO
Electric Contractor
CUMINGS ELECTRIC INC
Fees: Valuation
$86,500.00 Plan Approval
$75.00 Permit Fee Paid
$370.00 Park Dedication
$200.00
Issued By:
~
Date 12/15/2005
Final/O.P. DO/DO/DODO
0 Permit Voided I
Parcelld # 1230150000
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 ecessary appro e starting such activity.
.;¿7
AgenUOwner
OSHKOSH
Date .<:/-' -/,,"-Þ-r-
Signature
./
WI 54901 - 0000
Telephone Number
920-231-3389
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.
-GO
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number
7319
Name DEWEY HOMES
Address 2753 MINERVA ST
Create Date 12/08/2005
Lot
115
Block
Ward
Subdivision RUSCH KIENAST
Zone
U Sidewalk Existing
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site
12/08/2005
Set By
D.W.G. BK-607. P-23
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. ~~.
/ ¿::7
"1i.isconsin-Department of Industry,
Lábor and Human Relations
Safety and Buiidings Division
P.O. Box 2509
Madison. WI 53701-2509
Wisconsin Statues 101.63, 101.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
0117605
Parcel No.
Plbg LiclCert#
250178
Plbg LiclCert#
170792
Plbg LiclCert#
6356
LiclCert #
0 HVAC 0 Elec
Mailing Address
1941 BEECH ST
Mailing Address
1941 BEECH ST
Mailing Address
PO BOX 749
Mailing Address
1129 MICHIGAN AVE
Mailing Address
PO BOX 2153
0 Plbg
~ Erosion
0 Other:
~ Constr
OSHKOSH
WI 54902
Telephone No.
WI 54901 - 0000
Telephone No.
920-231-3389
Telephone No.
WI 54957 - 749 920-231-5946
Telephone No.
235-8090
Telephone No.
WI54912 - 2153 920-722-5035, S
N,R E(or)W
Block No.
WI 54901 - 0
Oshkosh
OSHKOSH
NEENAH
-0
Lot Area
S . ft.
Subdivision Name
RUSCH KIENAST
1/4,
APPLETON
1/4,Section
Lot No.
115
Left
,T
Building Address
2753 MINERVA ST
Zoning District(s)
New
0 Alteration
0 Addition
0 Repair
0 Raze
0 Move
Front
Right
Unfinished
Basement 1186
Living Area 1186
Garage 560
Nat. L.P. Oil Elec. Solid Sola
Ga
SpaceHtg~ 0 D D 0 0
WaterHtg ~ ODD D 0
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: D Full sealing
of joints. 0 Blower door test. D Exterior
air infiltration barrier.
Fuel
0 Other:
~ Municipal Utility
0 Plus Basement 0 Private On-Site Well $100,000.00
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 legal liability, express or i . d, on the De me t o~nic~lity; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE DATE SIGNED >< Þ -/F- ~
APPROVAL CONDITIONS This pe~it is issued purs to the following conditions. Failure to comply may result in suspension or
revocation of this per r other penalty
SEE "STANDARD CONDITIONS OF APPRO L" SHEET
21035 BTU/HR
14517 BTU/HR
Inspection
Wis. Permit Seal
Other
$30.00
Construction
HVAC
Electrical
D Plumbing
0 Erosion
0
Date
12/8/2005
Total
SBD-5823 (R. 07/92)
$105.00
326642
Cert. No.
70330
-8
OSHKOSH
ON THE WATER
Job Address
PARKLAND DEDICATION FEE COLLECTION RECORD
Name
2753 MINERVA ST
DEWEY HOMES
Date 12/15/2005
Address
1941 BEECH ST
Oshkosh
WI
~
Subdivision RUSCH KIENAST
Lot 115
Building Permit Number
Number of Dwelling Units
0117605
Number of Structures
Fee Required
~Æ""'- ~
Inspecto~s Signature' ' , ,/"
/
$200.00
Fee Paid
Date 1).- /r-o.5 ~
Date
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