HomeMy WebLinkAbout0088314-Building
G
OSHKOSH
ON THE WATER
Job Address 1855 HICKORY LN
""~ITY OF OSHKOSH
No 0088314
BUILDING PERMIT - APPLICATION AND RECORD
Owner PAUL WAGNER
Create Date 08/01/2001
Designer
Contractor J & V ROBERTS INC
Category
110 - New Single Family Plan C9-081-0701R
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size IRR
Unfinished/Basement
1076 . Sq. Ft.
2256 Sq. Ft.
689 Sq. Ft.
Rooms
9
Height 25 Ft.
o Projection I
Finished/Living
Bedrooms
4
Stories 2
Canopies
Garage
Baths
3
Signs
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 w/3 car attached garage, NO DECK OR PATIO.
of Work
HV AC Contractor
AIR TECH HEATING INC
Plumbing Contractor AHERN-GROSS INC.
Electric Contractor TOM SCHOMMER ELECTRIC INC
Fees: Valuation
$112,000.00 Plan Approval
$75.00 Permit Fee Paid
$416,00 Park Dedication
$100.00
Issued By:
~
Date 08/15/2001
Final/O.P.
o Permit Voided I
I n the performance of this wo.r.~ a~e to perform all work .pursuant to rules governing the described construction.
~/j 'jf/~. " d> ~ '
Signature ,'/)/,n;vC g~~ ....
~/. //(,- AgenVOwner
I., "
Address ~€(S MAIN ST FOND DU LAC WI 54935 - 0000
Date
{~? .,--0 (
Telephone Number
426-8100,979-1233
e
OSHKOSH
ON THE WATER
Name PAUL WAGNER
Lot 287
GRADE STAKE FORM
Address 1855 HICKORY LN
Grade Stake Number 6581
Ward
Block
Subdivision 10th Add to North Point Plat Zone
Lot Dimensions
Street Number
Create Date 08/01/2001
U Sidewalk Existing
Building Grade Elevation Stakes Set At Site 08/03/2001 Set By DW.G. BK - 569, P - 46
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.
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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,
0088314
Parcel No.
o Constr
Plbg
LiclCert #
17683
Lic/Cert #
248827
LiclCert #
252739
LiclCert #
o HVAC 0 Elec
Mailing Address
1109 WAUGOO
Mailing Address
255 S MAIN ST
Mailing Address
303 HILL ROAD
Mailing Address
1305 A INDUSTRIAL PARKWAY
Mailing Address
218 S MAIN ST
o Plbg
o Erosion 0 Other:
Telephone No.
Oshkosh
WI 54901 - 0000
HV AC 0 Plbg
Plbg
Telephone No.
FOND DU LAC WI 54935 - 0000 426-8100,979-1
Telephone No.
ROSENDALE WI 54974 - 9764 (920) 872-5055
Telephone No.
FOND DU LAC WI 54937 - 2208 (920) 924-6742
Telephone No.
FOND DU LAC WI 54963 - 0000 920-921-1414
Plbg
1/4,
1/4,Section ,T
Lot No,
287
Left
N,R E(or)W
Block No,
o 0
o 0
1076
Living Area 2256
Garage 689
o Plus Basement
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, ex ress or implied, on th Department or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATU / DATE SIGNED >(- ,.. /r - 0 ('
OVAL CONDITION his pe~rJlif)s i . p~rsuant to the following conditions. Failure to comply may result in suspension or
APPR revocatlM of thiS permit or other penalty
see standard conditions of approval@@@@TRUSS PLANS & LAYOUTS, BEAM CALCS, T JI
LAYOUTS, AND HEADER CALCS MUST BE ON SITE AT THE ROUGH INSPECTION. THE
BASEMENT FLOOR CAN NOT BE POURED PRIOR TO THIS INSPECTION
o Village 0 City 0 County 0 State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Plan Review $75.00 ~ Construction
HVAC Name Nicole Krahn
Inspection
Wis. Permit Seal $30.00 Electrical 08/08/2001
PlumbinQ Date
Other ~ Erosion
Total $105.00 256611 Cert. No. 248101
SBD-5823 (R. 07/92)
G
OSHKOSH
ON THE WATER
Job Address 1855 HICKORY LN
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 08/15/2001
Name PAUL WAGNER
Address
1109WAUGOO
Oshkosh
WI
54901
Subdivision 10th Add to North Point Plat
Lot 287
Building Permit Number 0088314
Number of Dwelling Units Number of'Structures
Fee Required
$100,00
Fee Paid
Owner's Signature
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,;1" 4
Date
y - <<-,.. d(
Inspector's Signature
Date
07/31/2001 16:42
'l'
9204260018
25.0'+/- :
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@ 25.0'+t-
21.0'+/-
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,
21.0''':/- ~
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23.0',,"'-
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$
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DISClAIMER
11IiI map II ........ Jeplly recorded map nor
I a tmrWy and It It IIOt Inteaded to,be IIIed as one.
TIlII drntne I. . CIlIIIIpIlMIon of..onII,'"
_~ IocaNd in wrtolat dry, CGlIRIy
and I1Bfe c#lkesand other IClUIUI .ffedi~
tho IlI'll8 mown ancJ It II CO be UlICd tor reference
flU"JlGIf.t opJy. n.e at)' or OIItSah Is IlOI ....
JPOIl'lble fbr _I_curada herein ClIJRfaI-a.
If dlsmpentlet Il'f found. please amlact the
Oty of OIhkoah.'
ROBERTS HOM~S
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oom
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234.84'
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239.15'
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rn
$
245.14'
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175.0'
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Lot 287
City of Oshkosh Wisconsin
Community Development
1" = 60
PAGE . 02
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7/31/01