HomeMy WebLinkAbout0066670-BuildingC~1'Y OF OSHKOSH No oo6ss7o
OSH OSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 570 GOLDEN IRIS DR Owner DEWEY HOMES INC Create Date 1015/98
Designer Contractor DEWEY HOMES INC 4/2/99
Category 110 -New Single Family Plan C6-105-1098R
Type u~ ing ~gn anopy ence aze
Zoning R-1 Class of Const: 8 Size 90' x 124.35
Unfinished/Basement 1260 Sq. Ft. Rooms 6 Height 18 Ft. role ion
Finished/Living 1260 Sq. Ft. Bedrooms 3 Stories 1 Canopies
Garage 660 Sq. Ft. Baths 2 Signs
Foundation
~ Poured Concrete ~ Floating Slab ~ Pier 0 Other
~ Concrete Block 0 Post ~ Treated Wood
Flood Plain No
# Dwelling Units 1
Height Permit Not Required
# Structures 1
Occupancy Permit Required
Park Dedication Required
Use/Nature ~SFR~
of Work I
HVAC Contractor AMERICAN HEATING & A C CO
Electric Contractor COMINGS ELECTRIC
Fees: Valuation 00.00 Plat
Issued By: A ~//
Approval
Plumbing Contractor JIM'S PLUMBING
~C~ lh ~o
$40.00 Permit Fee Paid $250.00 Park Dedication
Date 10/5/98 Final/O.P.
ermi of e
In the performance~is work I agree to perform all work pursuant to rules governing the described construction.
Agent/Owner
Address 1042 PIERCE UE OSHKOSH WI 54901 - 0
Date i~ ~
Telephone Number 414-231-3389
OSH OSH
ON THE WATER
Name DEWEY HOMES INC
Lot 79
Subdivision The Meadows North
Street Number
GRADE STAKE FORM
Grade Stake Number 6035
Address 570 GOLDEN IRIS DR Create Date 10/05/98
Block
Zone
Lot Dimensions 90' x 124.35'
Ward
i ewa xis ing
Building Grade Elevation Stakes Set At Site 00/00/00 Set By
epa men o u is or s
I, the undersigned, owner or agent of the above described property agree to have the rade established before exc vation
has commenced. /7~ _ ~ /I
is onsin epa men o n us ry, WISCO SIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0066670
P.o. Box 7666 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statues 101.63, 101.73
® Constr ~ HVAC ~ Elec ~ Plbg ®Erosion ~ Other:
weer s ame ai mg ress a ep one o.
DEWEY HOMES INC 1042 PIERCE AVENUE OSHKOSH WI 54901 - 0000 920-231-3389
on rac or: Con ~ Elec ~ HVAC ~ Plbg Lic/ ert # ai mg ress a ep one o.
DEWEY VMtJ Irvl: 4/L/yy 250178 1042 PIERCE AVENUE OSHKOSH WI 54901 - 0000 414-231-3389
on ec g i ert
CUMING tLtl: I Kll: PO BOX 749 NEENAH WI 54957 - 0749 231-5946 (Dick
on ec g i ert
AMERICArv rytH i irvu t~ H ~ t;V 1129 MICHIGAN AVE OSHKOSH WI 54901 - 0000 235-8090
on ec g i ert
JIM'S PL Mrsirv~ W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 757-5258 OR 75
Sq. ft. 1/4, 1/4,Section ,T N,R E(or)W
w ing ress u roision ame o o. oc o.
570 GOLDEN IRIS DR The Meadows North 7g
ornng is nc s ornng ermi o. ron ear a ig
Setbacks ft. ft. ft ft.
® New ~ Repair Single Family ntrance ane Forced Air Furnace Fuel a . i ec. o i oar
Alteration ~ Raze Two Family Size: 200 am Radiant Baseboard or Panel Gas
Addition ~ Move Garage Service: Heat Pump Space Htg
Other (print): Overhead Boiler Water Htg
Underground Central Air Conditioning
Other we ing unit wi ave i owa t or
Other more installed electric space heating equip.
•. ''' Site Constructed Concrete
Infiltration control option is:® Full sealing
Unfinished ~ Manufactured Masonary Sewer of joints.^ Blower door test. ~ Exterior
Basement 1260 Sq. ft. Treated Wood Municipal air mtiltration barner.
Other ®Septic
Living Area 1260 Sq. ft. 1-Story
~ ~ ,., . ,,
Garage 660 Sq, ft. 2-Story easona Permit No. Envelope BTU/HR
Other
Permanent Infiltration BTU/HR
Other Municipal Utility =:
®Plus Basement ~ Private On-Site Well $81,000.00
e app scant agrees to comp y wit a app ica a co es, s a ues an or m noes an wi a con i ions o is permit, un ers an s t at a issuance o
the permit creates no legal liability, expres plied, o the Depart or unicipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATU DATE SIGNED
APPROVAL CONDITIONS is perms is issue ursuan o e o owing con i ions. ai ure o comp y may resu in suspension or
revocation of this rmit or other penalty
ee an eview ee
Town ~ Village ®City ~ County ~ State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0- 2 6 6
~sv~`. y , 't1~it*.Nt~
Plan Review $40.00 COr1StrUCtlOn
Inspection HVAC
Name
Brian Noe
Wis. Permit Seal $30.00 Electrical Date 10/05/98
Plumbing
other
Erosion
Total $70.00 207850 Cert. No. 70266
5au-sacs (K. ur/yz)
PARKLAND DEDICATION FEE COLLECTION RECORD
OSH OSH
ON THE WATER
Job Address 570 GOLDEN IRIS DR Date 10/5/98
Name DEWEY HOMES INC
Address 1042 PIERCE AVENUE OSHKOSH WI 54901
Subdivision The Meadows North Lot 79
Building Permit Number 0066670
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
Owner's Signature ~~ Date ld `,6
Inspector's Signature Date
~b-Q~'1~$
OSH
ZaT11NGfLAND USE COMPLIANCE CHECKLIST
OSH
ON THE WATER
Name DEWEY HOMES INC Address 570 GOLDEN IRIS DR Create Date 10/05/98
Construction Data ew onstruction ition teration
Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR w/ attached garage and a 10' x 10' patio
Compliance Checklist
Deficient Comments
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Review Authority
As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or designee, must approve all plans,
except the following: (1) Alterations or interior work when the use is conforming and when no change in use is proposed. (2) Maintenance
items, e.g. siding, windows, etc., when the use is conforming and when no change is proposed.
Approved ~ Denied
an ommission c ion equire
anance s equire
Reviewed By Brian Noe Date 10/05/98
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