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.
Z
in
Z
r