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OSHKOSH
ON THE WATER
Job Address 365 LILAC ST
CITY OF OSHKOSH No 122488
BUILDING PERMIT - APPLICATION AND RECORD
Owner DEWEY HOMES INC Create Date 11/03/2006
Designer
Contractor DEWEY HOMES INC
Category
110 - New Single Family Plan 54-1106
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
r-2
Class of Const: 8
Size irrg
Unfinished/Basement ~ Sq. Ft.
Rooms
6
3
Height 16 Ft.
D Projection I
Finished/Living
Canopies
~ Sq.Ft.
~ Sq. Ft.
Bedrooms
Stories
Signs
Garage
Baths
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit Required
Flood Plain No
Height Permit Not Required
Park Dedication
Required
# Dwelling Units
# Structures
Use/Nature NSFRI New single family' with 2 car attached garage and 12' x 14' patio. The driveway shall not exceed 22' wide at the front property
of Work line.
HV AC Contractor
AMERICAN HEATING & A C CO
Plumbing Contractor
P&S PLUMBING
Electric Contractor CUMINGS ELECTRIC INC
$86,000.00 Plan Approval
$75.00 Permit Fee Paid
$391.00 Park Dedication
$200.00
Fees: Valuation
Issued By:
Date 11/10/2006
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 0611630300
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 permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to sec any necess approvals before starting such activity.
Signatur~' ~ Date 1/ - l' - ;:. '-
,
Address
1941 BEECH ST
Agent/Owner
OSHKOSH
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.
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DISCLAIMER
3<05
Lilac St Lot 2
This map is neither a legally recorded ....p nor
a survey and it is uot intended to be usa! as one.
This drawing Is a compilation of records. data
and Inform:arion Jacated fa varIons city. coDDIy
and state oflic:es aDd etber 58Urces aITediRg
the area shown and it Is to be nstd for rereren~
purposes only. The Cily ofOsbkesll is aot re-
sponsible for any Inaccuracies herein contained.
]f discrcpem:ics are found, please coatac! the
--. ..-.. .
~
OJHKOfH
ON THE WMER
City of Oshkosh Wisconsin
Community Development
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OSHKOSH
ON THE WATER
Job Address 365 LILAC ST
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 11/10/2006
Name DEWEY HOMES INC
Address
Oshkosh
WI
54901
Subdivision Lot
Building Permit Number 0122488
Number of Dwelling Units Number of Structures
Fee Required
$200.00
Fee Paid
Owns's Slgnatu.. 4--f2--L---~
Inspector's Signature
Date II - '7 -cJ (..
Date
II
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 7407
Name DEWEY HOMES INC
Address 365 LILAC ST
Create Date 11/03/2006
Lot
Block
Ward
Subdivision
Zone
U Sidewalk Existing
Street Number 365 LILAC ST
Lot Dimensions
Building Grade Elevation Stakes Set At Site 11/03/2006 Set By
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. /Z{Z h/' ?L
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.
0122488
Parcel No.
D Constr
D HVAC D Elec
Mailing Address
D Plbg
~ 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
1/4,Section ,T N,R E(or)W
Lot No. Block No.
Left
Plbg LiclCert #
250178
Plbg LiclCert #
170792
Plbg Lic/Cert #
6356
Plbg LiclCert #
Mailing Address
1941 BEECH ST
Mailing Address
PO BOX 749
Mailing Address
1129 MICHIGAN AVE
Mailing Address
PO BOX 2153
S . ft. 1/4,
Subdivision Name
Living Area
Sq. ft.
Sq. ft. -/ 1-Story
D 2-Story
Sq. ft. D Other
Concrete
D Masonry
Treated Wood
Other
-/ Forced Air Furnace
D Radiant Baseboard or Panel
D Heat Pump
D Boiler
D Central Air Conditioning
Other
Garage
1120
1120
484
Sewer
~ Municipal
D Septic
Permit No.
D Seasonal
~ Permanent ~ Municipal Utility
~ Plus Basement D Other D Private On-Site Well 100000
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 im . d, on the Department or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATU -L- DATE SIGNED i /.- 1- 0 k
This permit is issued rsu to the following conditions. Failure to comply may result in suspension or
revocation of this permit ther penalty
SEE "STANDRAD CONDITIONS OF APPROVAL" SHEET
D Village ~ City D County D State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Inspection
Wis. Permit Seal
Other
$30.00
Construction
D HVAC
D Electrical
D Plumbing
~ Erosion
D
Name JOHN ZARATE
Date 11/6/2006
Total
SBD-5823 (R. 07/92)
$105.00
352290
Cert. No. 70330