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OSHKOSH
ON THE WATER
Job Address 360 LILAC ST
CITY OF OSHKOSH No 121534
BUILDING PERMIT - APPLICATION AND RECORD
Owner DEWEY HOMES Create Date 09/01/2006
Designer
Contractor DEWEY HOMES INC
Category
110- New Single Family Plan 43-0906
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R-2
Class of Const: 8
Size Irrg
Unfinished/Basement
1186 Sq. Ft.
1186 Sq. Ft.
565 Sq.Ft.
Rooms
5
Height
17 Ft.
D Projection I
Finished/Living
Bedrooms
3
Stories
Canopies
Garage
Baths
2
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Required
Flood Plain No
Height Permit Not Required
Park Dedication Required
# Dwelling Units
# Structures
Use/Nature NSFR/ New single family 1 story, 2 car attached garage and 14' x14' concrete patio.
of Work
HV AC Contractor
AMERICAN HEATING & A C CO
Plumbing Contractor
P&S PLUMBING
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation
$84,000.00
~
Plan Approval
$75.00 Permit Fee Paid
$385.00 Park Dedication
$200.00
Issued By:
Date 09/14/2006
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 0611630400
In the performance of this work I agree to perform all work pursuant to rules governing 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 pe' ication withi n easement, the City strongly urges the permit applicant to contact the easement
holder(s) andlc> any a roval fore starting such activity.
""".,,,,
Sign,i'!tOre Date '7 - I c( ~ 0 ~
Agent/Owner
OSHKOSH
WI 54901 - 0000 Telephone Number 920-231-3389
Address
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.
I
I
This m;1p is neither a legally recorded map nor
a survej' llnd it is not intended to be used as one.
This drawing' is a compilation of records. data
and)nformatlon loeated in various dty, county
arid state offices and other sources affecting'
tbe area sbown and it is to be used for reference
purposes only. The City of Oshkosh is not re-
sponsible for any inaceurades herein contained.
If discrepencles are found, please contact tbe
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DISCLAIMER
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3(00 Lilac St Lot 3
City of Oshkosh Wisconsin
Community Development
OJHKOfH
ON THE WATER
1"=30'
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OSHKOSH
ON THE WATER
Job Address 360 LILAC ST
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 09/14/2006
Name DEWEY HOMES
Address
1941 BEECH ST
Oshkosh
WI
54901
Subdivision CSM 5121 Doc
Lot 3
Building Permit Number 0121534
Number of Dwelling Units Number of Structures
Owner's Signatu
Date 'i' - I V - 0 6.
Fee Required Fee Paid
Date
.
.
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 7393
Name DEWEY HOMES
Address 360 LILAC ST
Create Date 09/11/2006
Lot 3
Block
Ward
Subdivision CSM 5121 Doc
Zone
U Sidewalk Existing
Street Number 360 Lilac St
Lot Dimensions
Building Grade Elevation Stakes Set At Site 09/13/2006 Set By D.W.G. BK - 612, P - 2
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.
0121534
Parcel No.
D Constr D HVAC DElee D Plbg
Mailing Address
1941 BEECH ST
Plbg Lic/Cert # Mailing Address
250178 1941 BEECH ST
Plbg LiclCert # Mailing Address
170792 PO BOX 749
Plbg Lic/Cert # Mailing Address
6356 1129 MICHIGAN AVE
Plbg Lic/Cert # Mailing Address
PO BOX 2153
o Erosion D Other:
Telephone No.
Oshkosh WI 54901 - 0000
Telephone No.
OSHKOSH WI 54901 - 0 920-231-3389
Telephone No.
NEENAH WI 54957 - 749 920-231-5946
Telephone No.
OSHKOSH WI 54902 _ 0 235-8090
Telephone No.
APPLETON WI 54912 - 2153 920-722-5035, S
S . ft.
Subdivision Name
CSM 5121 Doc
1/4,
1/4,Section ,T
Lot No.
3
Left
N,R E(or)W
Block No.
./ Forced Air Furnace
D Radiant Baseboard or Panel
D Heat Pump
D Boiler
D Central Air Conditioning
Other
Nat. L.P. Oil Elec. Solid
Ga
Space Htg 0 D D D D D
Water Htg 0 D D D D D
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: D Full sealing
of joints. D Blower door test. D Exterior
air infiltration barrier.
Living Area
1186
1186
565
Envelope 21 035
Infiltration 14517
D Seasonal
o Permanent 0 Municipal Utility
o Plus Basement D Other D Private On-Site Well
The applicant agrees to comply with all a Ie codes, statues and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, R ie epa ent 0 municipality; and certifies that all the above information is accurate.
DATE SIGNED ~ /tf .-t3(:
ant to the following conditions. Failure to comply may result in suspension or
It or other penalty
APPLICANT'S SIGNA
Garage
This permit is issue
revocation of this
SEE "STANDARD CONDITIONS OF APPROVAL" S EET
D Village 0 City D County D State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Inspection
Wis. Permit Seal
Other
Total
SBD-5823 (R. 07/92)
$30.00
./ Construction
D HVAC
D Electrical
D Plumbing
o Erosion
D
Name JOHN ZARATE
Date 9/11/2006
$105.00
352279
Cert. No. 70330