HomeMy WebLinkAbout0126500-Building
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OSHKOSH
ON THE WATER
Job Address 844 KEENVILLE LN
CITY OF OSHKOSH
No
126500
BUILDING PERMIT - APPLICATION AND RECORD
Owner ~~V'{~'(J'2fv1E~_!ti~______
Create Date
08/17/2007
Designer
Contractor DEWEY HOMES INC
Category
110 - New Singl~~I'11l'Y__~_______________________________
Plan 033-0807
Type
. ~~~_____9 Sign
o C~nopy ______D_'="~~ce
o Raze
Zoning
R-1
Class of Const: 8
Size IRRG
Height
18 Ft.
D Projection I
Unfinished/Basement _ 1262 Sq. Ft.
Rooms
6
3
2
Stories
Finished/Living
__~262 Sq. Ft.
___B'1 Sq. Ft.
Bedrooms
Canopies
Garage
Baths
Signs
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
Park Dedication
Required
# Dwelling Units
# Structures
Use/Nature rS-FI~TNew single family, 1 story, 3 car attached garage 14' x 14' patio and concrete driveway.
of Work
!
I
__._____._____.___J
HV AC Contractor
AMERICAN HEATING & A C CO
Plumbing Contractor
P&S PLUMBING
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $108,500.00 Plan Approval _~OO Permit Fee Paid
Issued By: ~ -
$460.00 Park Dedication
$200.00
Date 08/28/2007
Final/O.P. 00/00/0000
----...
D Permit VoidedJ
Parcelld # 1550010100
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) and to se ure any necess approvals before starting such activity.
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Signatu~~v'./ .
/<
Date
~-~~-.J7
AgenUOwner
Address
OSHKOSH
WI 54901 - 2230
Telephone Number
920-231-3389
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. 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 7452
Name DEWEY HOMES INC
Address 844 KEENVILLE LN
Create Date 08/17/2007
Lot
Block
Ward
Subdivision
Zone
Street Number 844 KEENVILLE LN
Lot Dimensions
O-~----_. ---------~~----,
_~i~~wa Ik!=~isting__.J
Building Grade Elevation Stakes Set At Site 08/20/2007 Set By J2.:.w.e>.:...J?1< .-.?12, P =_
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the
has commenced.
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.
0126500
Parcel No.
D Constr D HVAC DElee D Plbg
Mailing Address
1941 BEECH ST
Plbg Lic/Cert # Mailing Address
250178 1941 BEECH ST
Plbg Lic/Cert # Mailing Address
170792 PO BOX 749
Plbg Lic/Cert # Mailing Address
6356 1129 MICHIGAN AVE
Plbg Lic/Cert # Mailing Address
PO BOX 2153
o Erosion D Other:
Telephone No.
OSHKOSH WI 54901 - 0000
Telephone No.
OSHKOSH WI 54901 - 2230 920-231-3389
Telephone No.
NEENAH WI 54957 - 749 920-231-5946
Telephone No.
OSHKOSH WI 54902 _ 6437 235-8090
Telephone No.
APPLETON WI 54912 - 2153 920-722-5035, S
S . ft.
Subdivision Name
1/4,
1/4,Section ,T
Lot No.
N,R E(or)W
Block No.
Forced Air Furnace
D Radiant Baseboard or Panel
D Heat Pump
D Boiler
D Central Air Conditioning
Other
Living Area
Garage
1262
--,----
1262
771
Sewer
o Municipal
D Septic
Permit No.
Nat. L.P. Oil Elec. Solid
Gas
Space Htg 0 D D D D D
Water Htg 0 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.
o Municipal Utility
o Plus Basement 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 i . d, on th~.>>men..t or municipality; and certifies that all the above information is accurate.
~ DATE SIGNED ~,-:?-p-$""r
This permit is . sU,ed pursuant to the following conditions. Failure to comply may result in suspension or
revocation thi's permit or other penalty
SEE "STANDARD CONDITIONS OF APPRO -(SHEET
APPROVAL CONDITI
D Village 0 City D County D State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Inspection
Wis. Permit Seal
Other
$30.00
----
-/ Construction
D HVAC
D Electrical
D Plumbing
o Erosion
D
Name JOHN ZARATE
Date 8/17/2007
Total
SBD-5823 (R. 07/92)
$105.00
352314
Cert. No. 70330
e
OSHKOSH
ON THE WATER
Job Address 844 KEENVILLE LN
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 08/28/2007
Name DEWEY HOMES INC
Address
1941 BEECH ST
OSHKOSH
WI
54901
Subdivision Lot
Building Permit Number 0126500
Number of Dwelling Units
Fee Required
Number of Structures
__ $200.0q
Fee Paid
Owner's Signature
Date ?! -.? <i' --u 7
Date