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HomeMy WebLinkAbout2003-BuildingOSHKOSH ON THE WATER Job Address Designer Category Type 2323 PLYMOUTH ST CITY OF OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD Owner RICHARD MATSCHNIG Create Date Contractor OWNER 110 - New Single Family · Building (~ Sign O Canopy O Fence (~ Raze No 0099769 02/10/2003 Plan E1-011,0203R Zoning R-1 Class of Const: 8 Unfinished/Basement 1380 Sq. Ft. Rooms 3 Finished/Living 1380 Sq. Ft. Bedrooms 3 Garage 720 Sq. Ft. Baths 2 Foundation · Poured Concrete (~) Floating Slab (~ Pier O Concrete Block (~) Post O Treated Wood Occupancy Permit Required Flood Plain No Park Dedication Required # Dwelling Units 1 Height 15 Ft. Stories 1 Other Size IRR [] Projection Canopies Signs Height Permit Not Required # Structures 1 Use/Nature ~ISFP,/1 story home with a 2 car attached garage, NO DECK OR PATIO. of Work HVAC Contractor Electric Contractor HOMEOWNER Fees: Valuation $88,000.00 Issued By: %'--~ RASMUSSEN'S HEATING & NC INC Plumbing Contractor JNL PLUMBING Plan Approval $75.00 Permit Fee Paid [] Permit Voided $344.00 Park Dedication $100.00 Date 02/10/2003 Final/O.P. 00/00/0000 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature ~, ,~;~ ..~.¢.~¢:-~--¢~ ~.,7 ~2~'/~',~,¢~~ Date Agent/Owner J Address Oshkosh WI 54901 - 0000 Telephone Number OSHKOSH ON THE WATER Name RICHARD MATSCHNIG GRADE STAKE FORM Address 2323 PLYMOUTH ST Lot Block Subdivision Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 02/10/2003 Set By Grade Stake Number 6896 Create Date 02/10/2003 Ward LL Sidewalk Existing J 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. ,./~/~~ 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 [] Constr [] HVAC [] Elec [] Plbg IApplication No. 0099769 Parcel No. [] Erosion [] Other: Owner's Name RICHARD MATSCHNIG Contractor: ~_J Con[] Elec'~ HVAC ~ Plbg OWNER Contractor: ~ Con ~ Elec b_~ HVAC~ Plbg HOMEOWNER Contractor: ~J Con U Elec[~_J HVAC [] Plbg RASMUSSEN'S HEATING & NC INC Contractor:~_~ Con [] Elec[~ HVAC~ Plbg JNL PLUMBING Lot Area Building Address 2323 PLYMOUTH ST District(s) Zoning Permit No. Mailing Address 2329 PLYMOUTH ST Telephone No. 231-9991 Oshkosh WI 54901 - 0000 Lic/Cert # Mailing Address Telephone No. Oshkosh WI 54901 - 0 Lic/Cert # Mailing Address Telephone No. OSHKOSH WI 54901 - 0 Lic/Cert # Mailing Address Telephone No. i847492 5154 DAVID DR OSHKOSH WI 54904 - 8850 920-235-6569 Mailing Address Telephone No. 1570 N OAKWOOD RD Oshkosh WI 54904 -0 233-2661 1/4, 1/4,Section ,T N,R E(or)W Subdivision Name Lot No. Block No. Front Rear Left Right New [] Repair Single Family Entrance Panel Forced Air Furnace [] Alteration [] Raze Two Family Size: 200 am [] Radiant Baseboard or Panel Garage Service: [] Heat Pump [] Addition [] Move [] Other (print): Overhead [] Boiler [] Other: Underground Central Air Conditioning Other [] Site Constructed Concrete Unfinished [] Manufactured Masonry Sewer ' Basement 1380 Sq. fi. Treated Wood [] Municipal Living Area 1380 Sq. ff. 1-Story Other [] Septic Garage 720 Sq. ff. I ~ 2-Story Permit No. Other [] Seasonal I [] Permanent [] Municipal Utility Plus Basement [] Other [] Private On-Site Well Fuel: Space Htg Water Htg unit will have 3 kilowatt or more installedelectdc space heating equip. Infiltration control option is: [] Full sealing of joints. [] Blowerdoor test. [] Exterior air infiltration barrier. Envelope 24112 BTU/HR Infiltration 16891 BTU/HR $162,000.00 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 implied, on the Department or municipality; and certifies that all the above information is accurate. · APPLICANT'S SIGNATURE ~/-.-~'~,~~ ~*;~'~~ ' DATE SIGNED ~ ~"/~ ~,~-~ '? This permit is issued pursuant to the following (~ditions. Failure to comply may result in suspension~or APPROVAL CONDITIONS revocation of this permit or other penalty SEE STANDARD CONDITIONS OF APPROVAL [] Town [] Village [] City [] County [~ State of: City Of Oshkosh Municipality Number of Dwelling Location: 7 0 2 6 6 Plan Review $75.00 Construction HVAC Name NICOLE KRAHN Inspection Electrical Wis. Permit Seal $30.00 [] Plumbing Date 02/10/2003 Other [] Erosion Tota~ $105.00 275783 Cert. No. 248101 SBD-5823 (R. 07/92)~ OSHKOSH ON THE WATER Job Address 2323 PLYMOUTH ST Name RICHARD MATSCHNIG Address 2329 PLYMOUTH ST Subdivision Building Permit Number 0099769 Number of Dwelling Units 1 Fee Required $100.00 Owner's Signature Inspector's Signature PARKLAND DEDICATION FEE COLLECTION RECORD Date 02/10/2003 Oshkosh WI 54901 Lot Number of Structures Fee Paid Date Date !..