HomeMy WebLinkAbout0063417-Building QD CITY OF OSHKOSH No 0063417
OSHKOSH BUILDING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 304 WINDINGBROOK DR Owner KURT A KOEPPLER Create Date 4/21/98
Designer Contractor CURTISS HOMES LTD 4/18/98
Category 110 New Single Family Plan C6- 039 -498R
Type Building Q Sign Q Canopy Q Fence Q Raze
Zoning R -1 Class of Const: 8 Size 33' x 70.5 irr
Unfinished/Basement 1426 Sq. Ft. Rooms 5 Height 19 Ft. LJ Projection
Finished/Living 1426 Sq. Ft. Bedrooms 3 Stories 1 Canopies
Garage 691 Sq. Ft. Baths 2 Signs
Foundation Poured Concrete Q Floating Slab 0 Pier
0 Other
Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required Dwelling Units 1 Structures 1
Use/Nature NSFR
of Work
HVAC Contractor BREWER HEATING Plumbing Contractor LARRY HANSEN PLBG
Electric Contractor SCHOMMER ELECTRICAL CON
Fees: Valuation $9 ,0 .00 Plan proval $40.00 Permit Fee Paid $300.00 Park Dedication $100.00
Issued By: Date 4/21/98 Final/O.P.
U Permit Voided
In the performance of this work I agree to rform all work pursuant to rules govemminn• the described construction.
Signature r —iA 4� Date go o r
I
Agent/Owner
Address 40 W 6TH AVE OSHKOSH WI 54901 0 Telephone Number 426 -1973
OSHKOSH
GRADE STAKE FORM
ON THE WATER Grade Stake Number 5943
Name KURT A KOEPPLER Address 304 WINDINGBROOK DR Create Date 04/21/98
Lot 51 Block Ward
Subdivision SAWYER CREEK Zone
Street Number Lot Dimensions 1 Sidewalk Existing 1
Building Grade Elevation Stakes Set At Site 00 /00 /00 Set By
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade established before excava
has commenced. KlAt'71
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0063417
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statues 101.63, 101.73
§gg f :NEON: Constr HVAC Elec Plbg Erosion Other:
Owner's Name Mailing Address Telephone No.
KURT A KOEPPLER 40 W6TH AVE OSHKOSH WI 54901 0000 426 -1973
Contractor: Con Elec HVAC Plbg Lic /Cert Mailing Address Telephone No.
CURTISS HOMES LTD 4/18/98 1066 40 W 6TH AVE OSHKOSH WI 54901 0000 426 -1973
Contractor: 1j Con E3 Elec HVAC 0 Plbg Lic/Cert Mailing Address Telephone No.
SCHOMMER ELECTRICAL CON N 164 TWO MILE ROAD APPLETON WI 54915 9121 731 -2299
Contractor: 0 Con Elec HVAC El Plbg Lic/Cert Mailing Address Telephone No.
BREWER HEATING N8804 N DOUGLAS ST RIPON WI 54971 0000 1- 748 -6494
Contractor: Con Elec El HVAC Plbg Lic/Cert 'Mailing Address Telephone No.
LARRY HANSEN PLBG N -1044 TOWER VIEW DR GREENVILLE WI 54942 0000 (C) 841 -2335
AggpmtvgAtmeLot Area Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
304 WINDINGBROOK DR SAWYER CREEK 51
Zoning District(s) Zoning Permit No. Front Rear Left Right
Setb cks ft. ft. ft ft.
IM MO; :'.1 rte. �tl!�
�11:� �ii+w�i. i r s:.ii #.�,.,.Q•, �I:�.�.�....... r'' t:•
New Repair ►:i Single Family Entrance Panel Forced Air Fumace Fuel Nat. L.P. Oil Elec. Solid Solar
Alteration Raze Two Family Size: 200 amp Radiant Baseboard or Panel Gas
Addition I:3 Move Garage Service: Heat Pump Space Htg
Other (print): Overhead Boiler Water Htg
Other ►_i Underground Central Air Conditioning
Dwelling unit will have 3 kilowatt or
1 :4: r i m' :_I:;: Other more installed electric space heating equip.
':1 n:;:;:;:;:;:;:;:;:;3 Concrete 1
Site Constructed �#�a ?lE! Infiltration control option is ❑Full sealing
Unfinished Manufactured Masonry Sewer
ft. p 4 "d 1 Treated Wood of joints. ❑Blower door test. 0 Exterior
Basement 1426 Sq. M, i ;K:i ;E:: El Municipal air infiltration barrier.
Other
Living Area 1426 Sq. ft. 1- Story Septic .:k1E'':l~� <s;S::s;3SS::�:
2 -Story •:::':•:::::::::'t Permit No. Envelope 25377 BTU/HR
Garage 691 Sq. ft. Other 1 Seasonal
x ;:;:;:;:;:;i :K:K: Infiltration 12744 BTU /HR
CI Permanent
Other Municipal Utility r: 's.. .:.x�fm
Plus Basement D Private On -Site Well $125,000.00
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, expressos implihe Departmen or municl ality; a d certifies that all the above information is accu te.
APPLICANT'S SIGNATURE DATE SIGNED 5` R"
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in s pension or
revocation of this permit or other penalty
i v ❑Town Village City ❑County ❑State of: Municipality Number of Dwelling Location:
DLO City Of Oshkosh 7 0 2 6 6
I II
Iiit il
w R;.
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Plan Review $40.00 Construction
Inspection El HVAC Name Brian Noe
Wis. Permit Seal $30.00 Electrical
Other
II Plumbing Date 04/21/98
I 1 Erosion
Total $70.00 II 196291 Cert. No. 70266
SBD -5823 (R. 07/92)
4?D
PARKLAND DEDICATION FEE COLLECTION RECORD
RD
O
ON THE WATER
Job Address 304 WINDINGBROOK DR Date 4/21/98
Name KURT A KOEPPLER
Address 40 W6TH AVE OSHKOSH WI 54901
Subdivision SAWYER CREEK Lot 51
Building Permit Number 0063417
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
Owner's Signature A A i (OM Date Y a/ /Fr
Inspector's Signature Date 2 ,t_
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