HomeMy WebLinkAbout0095978-Building
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OSHKOSH
ON THE WATER
Job Address 2200 HICKORY CT
CITY OF OSHKOSH No 0095978
BUILDING PERMIT - APPLICATION AND RECORD
Owner ROBERTS HOMES Create Date 07/16/2002
Contractor J & V ROBERTSINC
Designer
Category
110 - New Single Family Plan D1-099-0702R
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size IRR
Unfinished/Basement
1469 Sq. Ft.
2128 Sq.Ft.
804 Sq.Ft.
Rooms
4
Height 26 Ft.
D Projection I
Finished/Living
Bedrooms
4
Stories 2
Canopies
o
Garage
Baths
3
Signs
o
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/2 story home with a 3 car attached garage and a 24' wide concrete driveway at the lotline. NO PATIO OR DECK.
of Work
HV AC Contractor
AIR TECH HEATING INC
Plumbing Contractor AHERN-GROSS INC.
Electric Contractor SCHOMMER ELECTRICAL CON
Fees: Valua 'on
$142,000.00 Plan Approval
$75.00 Permit Fee Paid
$506.00 Park Dedication
$100.00
Issued By:
Date 07/18/2002
Final/D.P. 00/00/0000
D Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
7-/?-a-~
wner
Address
OSHKOSH
WI 54901 - 0000
Telephone Number
426-8100,979-1233
o
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 6768
Name ROBERTS HOMES
Address 2200 HICKORY CT
Create Date 07/16/2002
Lot 307
Block
Ward
Subdivision 11th Add to North Point Plat Zone
l!J Sidewalk Existing
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site 07/17/2002 Set By mb
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation
hescommenced. ~~
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.
0095978
Parcel No.
~ Constr
Plbg Lic/Cert #
17683
Plbg LiclCert #
170465
Plbg LiclCert #
252739
Plbg LiclCert #
D HVAC D Elec
Mailing Address
1425 S W
Mailing Address
1425 S WASHBURN ST
Mailing Address
N 164 TWO MILE ROAD
Mailing Address
1305 A INDUSTRIAL PARKWAY
Mailing Address
218 S MAIN ST
D Plbg
~ Erosion
D Other:
Telephone No.
Oshkosh
WI 54901 - 0000
FOND DU LACWI54937
- 2208
Telephone No.
426-8100,979-'
Telephone No.
(920) 731-2299
Telephone No.
(920) 924-6742
Telephone No.
920-921-1414
E(or)W
OSHKOSH
WI 54901 - 0
APPLETON
WI 54914 - 9121
FOND DU LAC WI 54935
-0
S.~ 1~
Subdivision Name
11th Add to North Point Plat
Front
1/4,Section
Lot No.
307
Left
,T
N,R
Block No.
./ Forced Air Furnace
D Radiant Baseboard or Panel
D Heat Pump
D Boiler
~ Central Air Conditioning
Other
Nat. L.P. Oil Elec. Solid Sola
Ga *
Space Htg D D D D D D
Water Htg ~ 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
Garage
1469
2128
804
D Seasonal
~ Permanent ~ Municipal Utility
D Plus Basement D Other D Private On-Site Well
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 the e artment or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE
DATE SIGNED
7,... ~--6c
APPROVAL CONDITIONS This pe. it,!, I~S p. ant to the following conditions. Failure to comply may result in suspension or
revoca 10 of thiS permit or other penalty
SEE STANDARD CONDITIONS OF APPRVOAL
D Village ~ City D County
City Of Oshkosh
State of:
Municipality Number of Dwelling Location:
7 0 2 6
Plan Review
Inspection
Wis. Permit Seal
Other
Total
SBD-5823 (R. 07/92)
Construction
HVAC
Electrical
$30.00 0 Plumbing
~ Erosion
$105.00 D
Name NICOLE KRAHN
Date 7/16/02
275750
Cert. No. 248101
o
OSHKOSH
ON THE WATER
Job Address 2200 HICKORY CT
PARKLAND DEDICATION FEE COLLECTION RECORD
Name ROBERTS HOMES
Address
1425 S W
Subdivision 11 th Add to North Point Plat
Building Permit Number 0095978
Oshkosh
Lot 307
Date 07/18/2002
WI
54901
$100.00
Number of Dwelling Units Number of Structures
Fee Required
Fee Paid
Owner's Signatur~
Inspector's Signature
~A~~
~~
.,'
Date 7 -/%-4'<"
Date
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