HomeMy WebLinkAbout0125273-Building
. CITY OF OSHKOSH No 125273
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 4411 ISLAND VIEW DR Owner CLASSIC HOMES BY KUBA Create Date 04/27/2007
Designer
Contractor CLASSIC HOMES BY KUBA L TO
Category
110 - New Single Family Plan 020-0407
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size IRR
Unfinished/Basement 1784 Sq. Ft.
Rooms
Height
19 Ft.
o Projection I
Finished/Living
~ Sq.Ft.
~ Sq.Ft.
Bedrooms
4
3
2
Stories
Canopies
Signs
Garage
Baths
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Required
Occupancy Fee
$0.00 Flood Plain No
Height Permit Not Required
Required
# Dwelling Units
# Structures
Park Dedication
Use/Nature NSFR/1 story home with a 3 car attached garage, 14'x14' rear patio, concrete driveway.
of Work
HV AC Contractor
BREWER HEATING
Plumbing Contractor
HANSON QUALITY PLUMBING
Electric Contractor SCHOMMER ELECTRICAL CONTRACTING I
Fees: Valuat~......... ~4,~ Plan Approval
Issued By: O-I-l-G---
$75.00 Permit Fee Paid
$505.00 Park Dedication
$200.00
Date 06/11/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1560130200
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) an 0 secure any necessary pprovals before starting such activity.
Signature ) Date Is;> -II-(J~
f/
Address
520 W 14TH AVE
OSHKOSH
WI 54902 - 0000
Telephone Number
426-8600
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 7438
Name CLASSIC HOMES BY KUBA
Address 4411 ISLAND VIEW DR
Create Date 04/27/2007
Lot 2 CSM 4126
Block
Ward
Subdivision
Zone
OSICfewalk Existing
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site 04/30/2007 Set By OW.G. BK - 613, P - 73
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. ~ '.:f::.~~./~.-?
/ , ~ d~ ~-O.~~~,
e
OSHKOSH
ON THE WATER
Job Address 4411 ISLAND VIEW DR
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 06/11/2007
Name CLASSIC HOMES BY KUBA
Address
520 W 14TH AVE
Oshkosh
WI
54901
Subdivision Lot 2 CSM 4126
Building Permit Number 0125273
Number of Dwelling Units Number of Structures
Fee Required
$200.00
Fee Paid
Owner's Signature
Inspector's Signature
~~~_~~ ~te
t, '~~...J~ - ~
Date
&-11-07
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
APPLlCA TION
Application No.
0125273
Parcel No.
o Constr 0 HVAC 0 Elec 0 Plbg
Mailing Address
520 W 14TH AVE
Plbg Lic/Cert # Mailing Address
7891 520 W 14TH AVE
Mailing Address
N164 TWO MILE RD
Mailing Address
N8804 DOUGLAS ST
Plbg Mailing Address
550 N BLUEMOUND RD
o Erosion 0 Other:
Telephone No.
Oshkosh WI 54901 - 0000 426-8600
Telephone No.
OSHKOSH WI 54902 - 0 426-8600
Telephone No.
APPLETON WI 54914 - 9121 920-731-2299
Telephone No.
RIPON WI 54971 - 9702 920-748-64948l
Telephone No.
APPLETON WI 54914 - 5748 730-0205
S . ft.
Subdivision Name
1/4,
1/4,Section ,T
Lot No.
2 CSM 4126
Left
N,R E(or)W
Block No.
-/ Single Family
o Two Family
o Garage
o Other (print):
Entrance Panel
Size:
Service:
o Overhead
o Underground
Forced Air Furnace
o Radiant Baseboard or Panel
o Heat Pump
o Boiler
o Central Air Conditioning
Other
,8
Nat. L.P. Oil Elec. Solid
Gas
Space Htg 0 0 0 0 0 0
Water Htg 0 0 0 0 0 0
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: 0 Full sealing
of joints. 0 Blower door test. 0 Exterior
air infiltration barrier.
1784
Concrete
o Masonry
Treated Wood
Other
Living Area
1784
--
719
o Seasonal
o Permanent 0 Municipal Utility
o Plus Basement 0 Other 0 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, e ess or implie ,on the Department r municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATUR ;.7~ DATE SIGNED ~ -r/,- 07
Garage
APPROVAL CONDITIONS
Failure to comply may result in suspension or
see standard conditions of approval
o Village 0 City 0 County 0 State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Inspection
Wis. Permit Seal
Other
Total
SBD-5823 (R. 07/92)
$30.00
-/ Construction
o HVAC
o Electrical
o Plumbing'
o Erosion
o
Name Nicole Krahn
Date 4/30/2007
$105.00
381692
Cert. No. 248101