HomeMy WebLinkAbout0126990-Building
o
OSHKOSH
ON THE WATER
Job Address 854 KEENVILLE LN
CITY OF OSHKOSH No 126990
BUILDING PERMIT - APPLICATION AND RECORD
Owner HUISMAN HOMES Create Date 07/23/2007
Contractor HUISMAN HOMES
Designer
Category
110 - New Single Family Plan 031-0707
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Size Irrg
Zoning
R-1
Class of Const: 8
Unfinished/Basement 1425 Sq. Ft.
Rooms
5
Height
21 Ft.
o Projection I
Canopies
Finished/Living
1425 Sq.Ft.
~ Sq.Ft.
Bedrooms
3
Stories
Garage
Baths
2
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
of Work
NSF-R/ New.single family* 1 story, 3 car attached garage 14' x 14' patio-and concrete driveway.
HV AC Contractor
THOMPSON HEATING AND COOLING SER\
Plumbing Contractor SOPER PLUMBING
Electric Contractor JK ELECTRIC
$109,269.00 Plan Approval
$75.00 Permit Fee Paid
$463.00 Park Dedication
$200.00
Fees: Valuation
Issued By:
Date 09/28/2007
FinaIlO.P. 0010010000
o Permit Voided I
Parcelld # 1550010200
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~o ffcure any cessary approvals before starting such activity.
Signature ~ Date cy- 2 S -oj
Agent/Owner
Address 3342 LOUISE CT
OSHKOSH
WI 54901 - 0000 Telephone Number 426-1003
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.
.
o
OSHKOSH
ON THE WATER
Job Address 854 KEENVILLE LN
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 09/28/2007
Name HUISMAN HOMES
3342 LOUISE CT
OSHKOSH
WI
54901
Address
Subdivision Lot 3
Building Permit Number 0126990
Number of Dwelling Units Number of Structures
Fee Required
$200.00
Fee Paid
Owner's Signature
QJ;~ \------0_____.__...___
Date c>[ ..:.. 2.-$;. -6-:7
Inspector's Signature
Date
,
e
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 7449
Name HUISMAN HOMES
Address 854 KEENVILLE LN
Create Date 07/23/2007
Lot 3
Block
Ward
Subdivision
Zone
U Sidewalk Existing
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site 07/25/2007 Set By DW.G. BK - 612, P - 72
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. (\ ~'-r~ ~ ----.
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.
0126990
Parcel No.
Plbg
D HVAC D Elec
Mailing Address
3342 LOUISE CT
Mailing Address
3342 LOUISE CT
Mailing Address
E9102 MANSKE RD
Mailing Address
901 OTTER
LiclCert # Mailing Address
222863MP 2225 BURNWOOD DR
S . ft. 1/4,
Subdivision Name
D Plbg
o Erosion
D Other:
D Constr
Telephone No.
Plbg
LiclCert #
901215
LiclCert #
160214
OSHKOSH WI 54901 - 0825
Telephone No.
OSHKOSH WI 54901 - 0 426-1003
Telephone No.
NEW LONDON WI 54961 - 8938 (920) 982-7848
Telephone No.
OSHKOSH WI 54901 _ 0 920-426-3095
Telephone No.
OSHKOSH WI 54902 - 9003 426-2151
1/4,Section ,T
Lot No.
3
Left
N,R E(or)W
Block No.
D D
D 0
1425
Living Area 1425
Garage 990
~ Municipal Utility
~ Plus Basement 0 Private On-Site Well 127000
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 e s or implie on the Department or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE \. . DATE SIGNED C1 ~ Zt5...- O{
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" SHEET
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
$30.00
,/ Construction
o HVAC
o Electrical
o Plumbing
o Erosion
o
Name JOHN ZARATE
Date 7/24/2007
Total
S8D-5823 (R. 07/92)
$105.00
352328
Cert. No. 70330
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DISCLAIMER
This map is neither a legally recorded map nor
a survey and it Is not Intended to Ileused as one.
This drawing is a compilation of records, data
and information located in varlous citY, county
and state offices and other sources affecting
the area shown and It Is to be used for reference
purposes only. The City of Oshkosh Is not re-
. sponslble for any inaccuracies hen;lncontained, .
If discrepencles are found, please contact the
City of Oshkosh."
\i acan t Eets
85"4 Keenville Ln
~
OJHKOfH
OH lHE WATER
Scale: 1." = 30'
City'cf Oshkosh
. Dep.artment of
Community Development
03/23/07
Created by - dlf