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G
OSHKOSH
ON THE WATER
Job Address 2466 BLAKE CT
CITY'OF OSHKOSH
No
0073607
BUILDING PERMIT - APPLICATION AND RECORD
Owner
HERITAGE HOMES OF OSHKOSH INC Create Date 08/25/1999
Designer
Security Homes
Contractor SECURITY HOMES OF WISCONSIN INC
Category
110 - New Single Family
Plan C7-122-899-R
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning R-1
Class of Const: 8
Size 54' x 65'
Finished/Living
1540 Sq.Ft.
1540 Sq.Ft.
~ Sq.Ft.
Rooms
Height
17 Ft.
D Projection I
Garage
Baths
6
3
2
U nfi nished/Basement
Canopies
Bedrooms
Stories
Signs
Foundation
Poured Concrete 0 Floating Slab
Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Required
Flood Plain No
Height Permit Not Required
Required
# Dwelling Units
# Structures
Park Dedication
Use/Nature NSFRI New single family with attached garage, driveway and patio.
of Work
HV AC Contractor
BREWER HEATING
Plumbing Contractor JIM'S PLUMBING
Electric Contractor CUMINGS ELECTRIC
Issued By:
$92,000.00 Plan Approval
$40.00 Permit Fee Paid
$305.00 Park Dedication
$100.00
Fees: Val
Date 10/14/199!:
Final/D.P.
D Permit Voided I
Date
/11 ,/f/ tff
,
Address
OSHKOSH
WI 54901 - 0000
Telephone Number 414-426-2045
e
OSHKOSH
ON THE WATER
..
GRADE STAKE FORM
Grade Stake Number 6234
Name HERITAGE HOMES OF OSHKOSH INC
Address 2466 BLAKE CT
Create Date 08/25/99
Lot 11
Block
Ward
Subdivision Country Estates North
Zone R-1
U Sidewalk Existing
Street Number
Lot Dimensions IRRG
Building Grade Elevation Stakes Set At Site
08/26/99
Set By DW.G. BK - 546, P -39
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to h
has commenced.
Wisconsin Department of Industry,
Labor and Human Relations
Safety and Buildings Division
P.O. Box 7969
Madison, WI 53707
Wisconsin Statues 101.63, 101.73
WISCONSiN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
0073607
Parcel No.
LiclCert #
8549
Plbg LiclCert #
D HVAC D Elec
Mailing Address
100 N WESTHAVEN DR
Mailing Address
100 N WESTHAVEN DR
Mailing Address
PO BOX 749
Plbg LiclCert # Mailing Address
N8804 N DOUGLAS ST
Plbg LiclCert # Mailing Address
W-6166 GREENVILLE DRIVE
D Plbg
o Erosion D Other:
o Constr
Telephone No.
OSHKOSH WI 54904 - 0000
Telephone No.
OSHKOSH WI 54901 - 0000 414-426-2045
Telephone No.
NEENAH WI 54957 - 0749 231-5946 (Dick
Telephone No.
RIPON WI 54971 - 0000 1-748-6494
Telephone No.
GREENVILLE WI 54942 - 0000 757-5258 OR 7
S . ft. 1/4,
Subdivision Name
Country Estates North
Front
1/4,Section ,T
Lot No.
11
Left
N,R
Block No.
D D
D D
Living Area
Garage
1540
1540
747
Sq. ft.
Sq. ft. 1-Story
2-Story
Sq. ft. D Other
o Plus Basement
APPLICANT'S SIGNATURE
DATE SIGNED
Th P
APPROVAL CONDITIONS re cation of this permit or
See Standard Conditions 0 Approval
Failure to comply may result in suspension or
D Village 0 City D County D State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Plan Review $40.00 ./ Construction
HVAC Name Brian Noe
Inspection
Wis. Permit Seal $30.00 Electrical
PlumbinQ Date 09/08/99
Other ./ Erosion
Total $70.00 221310 Cert. No. 70266
SBD-5823 (R. 07/92)
G
OSHKOSH
ON THE WATER
Job Address 2466 BLAKE CT
PARKLAND DEDICATION FEE COLLECTION RECORD
Address
100 N WESTHAVEN DR
Name HERITAGE HOMES OF OSHKOSH INC
OSHKOSH
Subdivision Country Estates North
Building Permit Number 0073607
Lot 11
Date 10/14/199!
WI
54904
Number of Dwelling Units Number of Structures
Fee Required
Fee Paid
$100.00
Owner's Signature
'ftii
Inspector's Signature
~~ i7r
Date
Date
,,/cf /t c( r f7
~ CITY QF OSHKQSH CORRECTION NOTICE:
CONTRACTOR: ~~
ADDRESS: c:/L{l.QLe .~~ C::r
~
Time Insp. Called In
Date
Time Insp. Needed
Requested By
Of
Phone #
Project to be Inspected
Means of Access
DbY
com@
BUILDING:
Footing
Foundatio
Rough
Insulation
Bsm!. Floor
Reinsp.
Final
Other
PLUMBING:
Rough
Test On
Underfloor
SewerIWater
Reinsp.
Final
Other
ELECTRI .
Rough
Service
Amps_Ph_
Temp_Penn_
UG_OH_
Reinsp.
Final
Other
- HV AC:
Rough
Furnace
AlC
Firepl ace
Reinsp.
Final
Other
EROSION CONTROL:
Tracking
Silt Fence
Stone Access
E.e. Bales
Reins,!>.
Final
Other
PROPERTY MAlNT.:
Setback Park.
Unlicensed Veh._
Garbage
Dilapidated bId's,
fences, etc.
Ext. Maint.
Other
ITEM# COOt; INSPECTION RESULTS
(J ./ 0~:. E"Lf)~ IS A:)o-J JA T-::>~'Lb
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2..;;:71
tODT" ~
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Cv~ -n4f'J''S,. ;vfi..... . , I
VIOLA TlONS MUST BE CORRECTED AND APPROVED WITHIN 30 DAYS UNLESS NOTED BELOW
CALL FOR INSPECTIONS BEFORE CONCEALMENT AND/OR OCCUPANCY!!
COMPLIANCE DATE: --:;::1t( .::sSJ.... ~ I ^.::::)""~~-Z.~
Action Taken: ~:proved/ Inspection Report left on site
o ot A roved! Ins ection Re ort iven to
pp
p
p g
Signed
Aj.4L
I~spection Services Division
///~/77
Date Of Inspection
~-~~
Phone Number
~
CORRECTION NOTICE / FIELD INSPECTION REPORT
0< Y la'.P ~cc:. Lx-
~
City of Oshkosh
Inspection Services Division
215 Church Avenue, PO Box 1130
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
JOB LOCATION:
CONTRACTOR:
~tDWL>-r
PROJECT TO BE INSPECTED:
~
BUILDING:
F Doting
Foundation
Rough
Insulation
Re-insp.
Final
PLUMBING:
ROllgh_
Test On
Underfloor
SewerfWater___
Re-insp.
Final
EROSION CONTROL:
Tracking
Silt Fence
Stone Access
Straw Bales
Re-insp.
Final
PROPERTY MAINT.:
Setback Park.
Unlicensed Veh_
Garbage
Dilapidated bid's, fences,
etc.
Ext. Maint.
(:bJ
:Sf"~
h1L4:--S~~
VIOLATIONS MUST BE CORRECTED AND APPROVED VVITHIN 30 DAYS UNLESS OTHERVVISE NOTED. CALL FOR RE-INSPECTlONS PRIOR TO
CONCEALMENT AND/OR OCCUPANCY. WHEN CORRECTIONS ARE COMPLETED THE OWNER/CONTRACTOR IS REQUIRED TO SIGN & DATE THIS
NOTICE AND RETURN IT TO THE INSPECTION DIVISION WHEN REQUESTING ARE-INSPECTION.
COMPLIANCE DATE: \X2AC)\(.. -0 ~
ACTION TAKEN:
o Mailed/Faxed
Signed
ro
2~~~A
Phone ~ 'f'
Date of Inspection
I hereby certify that the violations at the above address have been corrected.