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HomeMy WebLinkAbout0095978-Building . " 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 \ 56.47' \: ~ 1 50.88' \ () ,\ ~ <tJ5'-~("'I'-~O ,I),r....e ' ~ fj \ J 1.:>' ~ , t., I ~ c......P~<<.. ' \. "Q 1'..'''1. <l0 , \'::k' ... ,....; Cj \ . ,,_. ., ," >1. '. . \ / \, o:~"~;<I. \ \ \ , , . 5" \ 'If ~ J 4 ~1~',..', ~~ 4~.88' \ ~ ,:\ ".. I' r-- . \...... ' \"". f . \ \ ct) y <.0 ~' , \ , ) -- ~ 00' ~------- .. OJ \~ ~ ~ ~)/~O ' \ 1 ~ \: ~ \ ~ ,\ l~ ~ '\ . .-17- ')0 C"\ I .-::#, iL ') .~ ~ \' \ ~ '0 ,t -t,:; I..) Hi ",,1(0, C.ol.ld, ----- -------- 2 973- . I rJ,