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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. ~ /', //~ / .' , / // 1// /~ " 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 4{{ ~~'7 / .i:::_;; ,;1" 4 Date y - <<-,.. d( Inspector's Signature Date 07/31/2001 16:42 'l' 9204260018 25.0'+/- : . @ 25.0'+t- 21.0'+/- "- .J( (ot) ~) ~ to :~ eo , 21.0''':/- ~ r:: ~ 23.0',,"'- b $ 21.0i...,_ <Jo . .0' 1L~ 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 ~ ll')~ CJ\LO oom - 234.84' -~.---,--_..--:._.,--_..... - ~ fl. ,-t,. 239.15' --- --- '-. ,-..v'I'" rn $ 245.14' ~ ~ -------- 175.0' 0\ f::: ~ ~ Lot 287 City of Oshkosh Wisconsin Community Development 1" = 60 PAGE . 02 ~ ""IF; ~ <I.. ...s .. -..0 _. .. , 1_ . ~ 3 ~ ~ "- ~ .. .- ((..t"" ~ 00 ~~ .00 ~....... .0 .....~ NOO 0'),-4 to I"-: ..- ...- "'-0 - 00 ....... N A O.lRROLtr= ON THIi WAn" Oeated by - MU> > .ffl'''...,.''"._____.. ..., ... ....."'~'.. .,. ,,_, .___....",,,,,..._.....,,,........ .'':"' _. 7/31/01