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OSHKOSH
ON THE WATER
Job Address 2250 HICKORY CT
CITY OF OSHKOSH No 0097098
BUILDING PERMIT - APPLICATION AND RECORD
Owner GARY/ BECKY GALlCA Create Date 08/29/2002
Designer
Contractor D & D CONSTRUCTION GALLERY HOMES LLC
Category
110 - New Single Family Plan D1-122-0802R
Type
. Building
o Sign
o Canopy o Fenpe o Raze
Class of Const: 8 Size IRR
Rooms 4 Height 18 Ft. D Projection I
Bedrooms 3 Stories Canopies 0
Baths 2 Signs 0
Zoning R-1
Unfinished/Basement
1712 Sq.Ft.
1712 Sq.Ft.
624 Sq. Ft.
Finished/Living
Garage
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/1 story home with a 2 car attached garage, 12'x12' rear concrete patio, 24' concrete driveway.
of Work
HV AC Contractor
UNKNOWN???
Plumbing Contractor
P&S PLUMBING
Electric Contractor SCHOMMER ELECTRICAL CON
Fees: Valuation
Issued By: ~
$121,400.00 Plan Approval
$75.00 Permit Fee Paid
$446.00 Park Dedication
$100.00
Date 09/06/2002
Final/O.P. 00/00/0000
D Permit Voided I
In the performance of this work I agree to perform all work "p~~uant to rules goveming the described construction.
-"'-'-7 ~ ..---. ~~-_.-
Signatul'e' ...:;:' ~ ~~z;:~~-- Date
~_. - Agent/Owner
9~ ~ ~'6 2-
Address
100 ROLLING GREEN CIR
Oshkosh
WI 54904 - 0000
Telephone Number
232-0059
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OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 6808
Name GARY/ BECKY GALlCA
Address 2250 HICKORY CT
Create Date 08/30/2002
Lot 305
Block
Ward
Subdivision Hickory Court
Zone
U Sidewalk Existing
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site 08/30/2002 Set By D.W.G. BK - 573, P - 60
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. ~ <;;v;~. . "'="~._.._.-.._..._..._..
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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.
0097098
Parcel No.
[?] Constr
D HVAC D Elec D Plbg
Mailing Address
2250 HICKORY CT
Mailing Address
100 ROLLING GREEN CIR
Mailing Address
N 164 TWO MILE ROAD
Mailing Address
[?] Erosion D Other:
Telephone No.
Oshkosh WI 54901 - 0000
Telephone No.
Oshkosh WI 54904 - 0 232-0059
Telephone No.
APPLETON WI 54914 - 9121 (920) 731-2299
Telephone No.
Oshkosh WI 54901 -0
Telephone No.
APPLETON WI 54913 -0 734-3912
Plbg Lie/Cert # Mailing Address
PO BOX 2153
S . ft.
Subdivision Name
Hickory Court
1/4,
1/4,Section ,T
Lot No.
305
Left
N,R E(or)W
Block No.
Living Area
Garage
1712
1712
624
Sq. ft.
Sq. ft. ./ 1-Story
D 2-Story
Sq. ft. D Other
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, on the Department or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATUR' /Y---~-c...-'b---'-"'h DATE SIGNED 9~ G" 0 2..
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
see standard conditions of approval
D Village [?] City D County
City Of Oshkosh
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 D Plumbing
~ Erosion
$105.00 D
Name Nicole Krahn
Date 8/30/02
275763
Cert. No. 248101
.
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OSHKOSH
ON THE WATER
Job Address 2250 HICKORY CT
PARKLAND DEDICATION FEE COLLECTION RECORD
Name GARY/ BECKY GALlCA
Address
2250 HICKORY CT
Date 09/06/2002
Oshkosh
WI
54901
Subdivision Hickory Court Lot 305
Building Permit Number 0097098
Fee Required
$100.00
Number of Dwelling Units Number of Structures
Fee Paid
Owner's Signature ~~~~_._.
Inspector's Signature
Date 9-0<0 --0 C.
Date
CITY OF OSHKOSH'
I
STANDARD CONDITIONS OF APPROVAI:'~-'
Project Address ~ ~CA~ Permit #
\
Please read the following information and sign at the bottom to acknowledge that you have read
and agree to comply with these conditions.
1. All habitable rooms must be provided with 8% light and 3.5% ventilation. Bedrooms
located on the second floor or below ground level rl1ust'be provided with egress windows
in addition to the light and ventilation requirements. Basement windows are also
required to have window well areas in accordance with'ILHR 21.03.
2. Garage spaces shall be separated from the dwelling unit in accordance withILHR21.08.
The door and frame assembly betWeen the dwelling unit and an attached garage shall be
labeled by an independent testing agency as having a minimum fire-resistive rating of 20
minutes. All drywall joints are required to be tapedlsealedunlessthe joints are fitted so .
that the gap is no more than a dime.s thickness ( lI20-inch) and backed by solid wood or
drywall with the joints staggered.
3. All penetrations in exterior walls must be sealed prior to the insulation inspection. This
includes holes in the top and bottom plates, gaps around heating ducts, and holes in the
return air spaces.
4. Smoke detectors are required on every floor and within 6" of all bedrooms. The smoke
detectors are required to be hardwired and interconnected.
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5. Hydromassage tubs are required to have an access pane) to motor. The access panel must
be accessible without removing the finish of the house. '
6. All overframing must be designed by the truss manufacturer, according to standards set
by the truss plate institUte, or structural calculations must be provided prior to the rough
building inspection. '
7. Truss plans must be submitted and approved prior to framing the roof.
8. Truss plans including the truss layout must be provided on site at the rough building
inspection. In addition to the truss plans, microlam calculations must be provided on site
at the rough building inspection for all micro lams with point loads on them.
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9. Calculations must be provided for all cantilevered floors with point loads. Floor trusses
and TJI's must be designed for the cantilevered areas.
1 O. The property owner and applicant is responsible for colpliance with ILHR 21.125
(Erosion Control). 'When insful1ingaccessdrives, a mibimum 01'2"-3" diameter stone is
required in addition to a minimum of 6" depth, 30'-50' length, and 14'-20' width. Erosion
control measures must be maintained until tl:1e. lawn is 1stablished.
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11. All storm sewer inlets must be protected with approved erosion control devices. Tracking
(i.e. sediment) must be removed from the street at the epd of each workday. Repair any
siltation or erosion damage to adjoining surfaces and dfainageways resulting from land
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development or disturbing activities.
12.
13.
14.
15.
16.
17.
The building placard must be posted on site at all times. Once the rough framing is up
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the placard must be posted on the patio door or on a kitchen window. If the placard is not
present at any inspection, stop work orders will be post~d. Additional placards can be
obtained through our department ifthe cards are misplaced.
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All mechanicals must be roughed in prior to requesting the rough building inspection. If
on the inspection the mechanicals are not roughed in, the inspection will,fail and a $100
re-inspection fee will be charged. I
Attached is a copy of the final inspection checklist. At1the final inspection all items on
this list must be completed to avoid the $100 re-inspection fee per inspection.
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When requesting final inspections please note that a mihimum of 2 days notice is needed
from the time the inspection is ready. Furniture is onlyiallowed to be placed in the center
of the garage floor and a minimum of a 3' pathway must be provided around the walls of
the garage. At the final'inspection no furniture or personal belongings are allowed in the
house. Appliances such as the stove, refrigerator, washer, and dryer are not to be set in
place due to the electriCal inspector needing to look at the power serving the appliances.
A 6' stepladder must be on site at the final inspection to' provide access to the attic.
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The building placard must remain on the patio door or on a kitchen window until
occupancy is approved. Occupancy is not allowed prior to the placard having all of the
final inspection approved stickers on the backside. If occupancy occurs prior to the
inspections being approved daily citations will be issued with no further notice being
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given. .
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All site grading must be done in accordance with the approved drainage plan on file in the
public works office, 3rd floor. I
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