HomeMy WebLinkAbout0122454-Building
G
OSHKOSH
ON THE WATER
Job Address 3320 3322 ISAAC LN
CITY OF OSHKOSH No 122454
BUILDING PERMIT - APPLICATION AND RECORD
Owner WILLIAM MILLER Create Date 08/16/2006
Designer
Contractor WILLIAM K MILLER
120 - New Duplex Plan 039-0806
Category
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
PD
Class of Const: 8
Size irr
Unfinished/Basement ~ Sq. Ft.
Rooms
2
Height 20 Ft.
D Projection I
Finished/Living
2300 Sq.Ft.
~ Sq.Ft.
Bedrooms 4
Stories
Canopies
Garage
Baths
4
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Required
Flood Plain Yes
Height Permit Not Required
Park Dedication
Required
# Dwelling Units
2
# Structures
Use/Nature NEW DUPLEXl1 story side by side units with attached 2 car garages. 12'x16' rear uncovered patios with frost protection.
of Work
HV AC Contractor
GRANT SCHULTZ HEATING & COOLING
Plumbing Contractor SBS PLUMBING LLC
Electric Contractor ELECTRICAL CONSTRUCTION SERVICES L
Fees: Valuation
Issued By: l~
$217,000.00 Plan Approval
$75.00 Permit Fee Paid
$784.00 Park Dedication
$330.00
Date 11/08/2006
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1416580300
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 apf'lication within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) an to secur,a'ny necess~aj)~~ before starting such activity.
Signature / ~-_.
Address
, /~.
f J
'----_/
2129 JACKSON ST
Agent/Owner
Oshkosh
Date~/- ,r.-", cf
WI 54902 - 0000
Telephone Number
420-6101
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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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OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 7390
Name WILLIAM MILLER
Address 3320 3322 ISAAC LN
Create Date 08/24/2006
Lot 3
Block
Ward
Subdivision Patriarchs Subdivision
Zone
lliidewalk Existing =:J
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site 08/29/2006 Set By DWoGo BK - 607, P - 73
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation
has commencedo
Wisconsin Department of Industry,
Labor and Human Relations
'Safety and Buildings Division
PoOo Box 2509
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application Noo
0122454
Parcel No.
D Constr D HVAC D Elec D Plbg
Mailing Address
PO BOX 3465
Plbg LiclCert # Mailing Address
1037254 2129 JACKSON ST
Mailing Address
125 W 21ST AVE
Mailing Address
55 CRIMSON LN
Plbg Mailing Address
PO BOX 3904
S 0 fto 1/4,
Subdivision Name
Patriarchs Subdivision
Front
~ Erosion
D Other:
Oshkosh
Telephone No.
WI 54903 - 0000
Telephone Noo
WI 54902 - 0 420-6101
Telephone Noo
WI 54902 - 0 920-252-2770
Telephone Noo
WI 54902 - 0 (920) 216-1616
Telephone No.
WI 54903 - 3904 920-410-5933
,T N,R E(or)W
Block No.
Oshkosh
OSHKOSH
OSHKOSH
OSHKOSH
1/4,Section
Lot Noo
3
Left
Living Area
2300
846
Sqo fto
Sq. fto 1-Story
D 2-Story
Sq. fto D Other
Concrete
D Masonry
Treated Wood
Other
~ Forced Air Furnace
D Radiant Baseboard or Panel
D Heat Pump
D Boiler
~ Central Air Conditioning
Other
Nat. L.Po Oil Eleco Solid Sola
Ga
SpaceHtg D D [J D D D
WaterHtg ~ D [J D D D
Dwelling unit will have 3 kilowatt or
more installed electric space heating equipo
Infiltration control option is: D Full sealing
of jointso D Blower door test. D Exterior
air infiltration barrier.
1781
Sewer
~ Municipal
D Septic
Permit Noo
D Seasonal
~ Permanent ~ Municipal Utility
~ Plus Basement D Other D Private On-Site Well
The applicant agrees to comply with all ap~Ii~le codes, statues and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, ex s~r1mplied, on the Department or municipality; and certifies that all the above info ation is accurate.
APPLICANT'S SIGNATUR / ~ _ DATE SIGNED - ;;---tl ;'
APPROVAL CONDITIONS T~ rm 0 Issued pursuant to the following conditionso
revocation of this permit or other penalty
Garage
See standard conditions of approval
D Village ~ City D County D State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Inspection
Wiso Permit Seal
Other
$30000
~ Construction
D HVAC
D Electrical
D Plumbing
~ Erosion
D
Name Nicole Krahn
Date 8/24/2006
Total
SBD-5823 (Ro 07/92)
$105.00
352275
Cert. Noo 248101
G
OSHKOSH
ON THE WATER
Job Address 3320 3322 ISAAC LN
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 11/08/2006
Name WILLIAM MILLER
Address
PO BOX 3465
Oshkosh
WI
54903
Subdivision Patriarchs Subdivision
Lot 3
Building Permit Number 0122454
Number of Dwelling Units
2
$330000
Number of Structures
Fee Required
Fee Paid
Owner's Signature
'f /'
'J I -- /--------
Iv-"'" A /
v L/'"
Date
Inspector's Signature
Date