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HomeMy WebLinkAbout0097099-Building CITY OF OSHKOSH No 0097099 OSHKOSH BUILDING PERMIT APPLICATION AND RECORD ON THE WATER Job Address 494 WINDINGBROOK DR Owner JAMES MATHUSEK Create Date 08/30/2002 Designer Contractor D D CONSTRUCTION GALLERY HOMES LLC Category 110 New Single Family Plan D1- 124 -0802R Type i♦ Building 0 Sign O Canopy O Fence 0 Raze Zoning R -1 Class of Const: 8 Size IRRG Unfinished/Basement 1626 Sq. Ft. Rooms 8 Height 31 Ft. Projection Finished/Living 2810 Sq. Ft. Bedrooms 3 Stories 2 Canopies 0 Garage 1140 Sq. Ft. Baths 4 Signs 0 Foundation Poured Concrete 0 Floating Slab 0 Pier 0 Other 0 Concrete Block 0 Post O Treated Wood Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required Dwelling Units 1 Structures 1 Use /Nature NSFR/ New single family 2 story 3 car garage. NO DECK OR PATIO. Driveway 14' -0" wide at front property line. of Work HVAC Contractor BREWER HEATING Plumbing Contractor AHERN -GROSS INC. Electric Contractor SUPERIOR ELECTRIC COMPANY Fees: Valuation $200,000.00 Plan Approval $75.00 Permit Fee Paid $680.00 Park Dedication $100.00 Issued By: f<th Date 09/06/2002 Final /O.P. 00 /00 /0000 Permit Voided 1 In the performance of this work I a ee to p all work pursuant to rules governing the described construction. Signature Date 6 'ThdZ Agent/Owner Address 100 ROLLING GREEN CIR Oshkosh WI 54904 0000 Telephone Number 232 -0059 OSHKOSH GRADE STAKE FORM ON THE WATER Grade Stake Number 6809 Name JAMES MATHUSEK Address 494 WINDINGBROOK DR Create Date 08/30/2002 Lot 29 Block Ward Subdivision Sawyer Creek Zone Street Number Lot Dimensions Sidewalk Existing Building Grade Elevation Stakes Set At Site 08/30/2002 Set By Department of Public Works 1, the undersigned, owner or agent of the above described property agree to have the grade established be re P.xravatinn has commenced. Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0097099 P.O. Box 2509 APPLICATION Parcel No. Madison, WI 53701 -2509 Wisconsin Statues 101.63, 101.73 Q Constr HVAC Elec Plbg Q Erosion Other: Owner's Name Mailing Address Telephone No. JAMES MATHUSEK 100 ROLLING GREEN CIR Oshkosh WI 54904 0000 Contractor: 0 Con❑ EIecH HVAC I Plbg Lic/Cert Mailing Address Telephone No. D D CONSTRUCTION GALLERY HOMES LLC 663449 100 ROLLING GREEN CIR Oshkosh WI 54904 0 232 -0059 Contractor: MI Con 0 Elec HVAC• Plbg LiGCert Mailing Address Telephone No. SUPERIOR ELECTRIC COMPANY 843471 1775 E SHADY LN NEENAH WI 54956 0 (920) 720 -5200 Contractor: Con Elec 0 HVAC Plbg Lic/Cert Mailing Address Telephone No. BREWER HEATING 4220 N8804 N DOUGLAS STREET RIPON WI 54971 -0 (920)748 -6494 Contractor: U Con Elec U HVAC Q Plbg Lic/Cert Mailing Address Telephone No. AHERN -GROSS INC. 218 S MAIN ST FOND DU LAC WI 54935 -0 920 -921 -1414 Lot Area S• ft. 1/4, 1 /4,Section ,T N,R E or W Building Address Subdivision Name Lot No. Block No. 494 WINDINGBROOK DR Sawyer Creek 29 Zoning District(s) Zoning Permit No. Front Right i 0 New Repair 0 Single Family Entrance Panel 121 Forced Air Fumace Nat. Oil Elec. Solid Sola Alteration Two Family Size: 200 am. Radiant Baseboard or Panel Fuel Ga Raze e Addition Garage Service: Heat Pump Space Htg 0 Move Other (print): Overhead Q U nderground Boiler Water Ht 0 Other: 0 Central Air Conditioning M Dwelling unit will have 3 kilowatt or 0 Site Constructed Concrete Other more installed electric space heating equip. Masonry Infiltration control option is Full sealing M Unfinished Manufactured ry Sewer of joints. Blower door test. Exterior ft. Treated Wood Basement 1626 S q• 0 Municipal air infiltration barrier. �1 -Sto Other Living Area 2810 Sq. ft. ry El El Septic 0 2 -Story Permit No. Envelope 45623 BTU /HR Garage 1140 Sq. ft. Other Seasonal Infiltration 30342 BTU /HR 0 Permanent Q Municipal Utility Plus Basement El Other Private On -Site Well El Plus $230,000.00 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, express or im lied, on I Departm nt or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATUR „'7 DATE SIGNED 9 J'. -G O APPROVAL CONDITIONS his 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 Town Village '4 City County MI State of: Municipality Number of Dwelling Location: City Of Oshkosh 7 0- 2 6 6 Plan Review $75.00 Q Construction Inspection II HVAC Name JOHN ZARATE II Electrical Wis. Permit Seal $30.00 Plumbing Date 8/30/02 Other i✓1 Erosion Total $105.00 275840 Cert. No. 70330 SBD -5823 (R. 07/92) PARKLAND DEDICATION ON FEE COLLECTION RECORD ON THE WATER Job Address 494 WINDINGBROOK DR Date 09/06/2002 Name JAMES MATHUSEK Address 100 ROLLING GREEN CIR Oshkosh WI 54904 Subdivision Sawyer Creek Lot 29 Building Permit Number 0097099 Number of Dwelling Units 1 Number of Structures 1 Fee Required $100.00 Fee Paid Owner's Signature Date 9 Inspector's Signature jam_ Date City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 OJHKOJH Oshkosh 6 03 -1130 Office 920-236-5050 920 2-236 -5-5 050 ON THE WATER Fax 920 236 -5084 PLAN REVIEW Project Address:494 WINDINGBROOK Date Reviewed: 8/30/2002 Submitted By:GALLERY HOMES Phone Number: 379 -1621 Plan Number:D1- 124 -0802R Mailed Reviewed By: JZ Faxed Phone: 920 236 -5119 Delivered Date: Result of Plan Review: Conditionally Approved Withheld Pending Approval of Additional Information Not Approved, Plans Returned for Revisions Conditions Noted on Plan Review 1) WINDOWS WITHIN 2' OF DOORS SHALL HAVE TEMPERED GLASS(DINETTE, AND ROOM IN BASEMENT). 2) PROPOSED FUTURE BEDROOM IN BASEMENT DOES NOT SHOW ANY WINDOWS. 1 1, 1 L O W N a d 1 Ile In I o ,O t r R U) N o N N ,Z ,0t ,Z .SF r ,ZZ z N 0° r I w OI N O O ,O t c� 0 8 00 in Q i ti d a o c 1 JW ,9t t IN C.5 CI re l 1 ,9917£ N I o° 06 I 1 ,£8'£ t ,Z1 ,££17 t 1 0 -1,9-.0 lb W 1 r y p Z 1- 1 N 30N33 111S 30N34 111S 1143 i ch C. 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