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HomeMy WebLinkAbout0100358-BuildingOSHKOSH ON THE WATER Job Address Designer Category Type 2405 HEARTHSTONE DR 110- New Single Family CITY OF OSHKOSH No 0100358 BUILDING PERMIT -APPLICATION AND RECORD Create Date 03/20/2003 Owner D.B. CURTISS LTD Contractor D B CURTISS LTD · Building O Sign (~ Canopy (~ Fence (~ Raze Plan E1-028-0303R Zoning R-1 Unfinished/Basement Finished/Living Garage Foundation Occupancy Permit Park Dedication Class of Const: 8 1181 Sq. Ft. Rooms 8 2263 Sq. Ft. Bedrooms 3 604 Sq. Ft. Baths 3 · Poured Concrete O Floating Slab ~) Pier C) Concrete Block (~) Post C) Treated Wood Required Flood Plain No Required # Dwelling Units 1 Height Stories 2 26 Ft. Other Size IRRG [] Projection Canopies Signs Height Permit Not Required # Structures 1 Use/Nature NSFR/ Single family 2 stow, 2 car attached garage, 12' x 15' patio. Driveway will be 22'-6". of Work HVAC Contractor Electric Contractor Fees: Valuation Issued By: ~ BREWER HEATING SCHOMMER ELECTRICAL CON $126,000.00 Plan Approval $75.00 Plumbing Contractor FIELDS PLUMBING Permit Fee Paid $458.00 Park Dedication $100.00 Date 03/24/2003 FinallO.P. 00/00/0000 [] Permit Voided j In the pe~~ work pursuant to rules governing the described construction. Signature ~ ~ t ~ ~ ~ Date 1% Agent/Owner Address 40 W 6TH AVE OSHKOSH WI 54902 - 0000 Telephone Number 426-1973 OSHKOSH ON THE WATER GRADE STAKE FORM Name D.B. CURTISS LTD Address Lot 1 Block Subdivision Sarres Plat Zone Street Number Lot Dimensions 2405 HEARTHSTONE DR Grade Stake Number 6915 Create Date 03/20/2003 bJ Sidewalk Existing Ward Building Grade Elevation Stakes Set At Site 03/21/2003 Set By D.W.G. BK - 586, P - 59 Department of Public Works I, the undersigned, owner or agent of the above described property.agree to have t~l~hed before excavation has commenced. ~,~.~. ~ ~ ~Nisconsin'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. [] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other: Owner's Name D.B. CURTISS LTD Contractor: L~J conE~ Elec'~ HVAC ~J Plbg D B CURTISS LTD Contractor: L~ Con ~_j Elec L_J HVACLJ Plbg SCHOMMER ELECTRICAL CON Contractor: L_J Con ~ ElecL~j HVAC [] Plbc, ]REWER HEATING Contractor:[~ Con [] Elec[~ HVAC[~] Plbg FIELDS PLUMBING I Mailing Address 140 W. 6TH AVE Lic/Cert # I Mailing Address 1066 140 W 6TH AVE Oshkosh WI 54902- 0000 OSHKOSH WI 54902 - 0 Lic/Cert # Mailing Address 170465 N 164 TWO MILE ROAD Lic/Cert # 'Mailing Address 4220 N8804 N DOUGLAS STREET Lic/Cert # Mailing Address 131540 1939 SOUTHLAND LN APPLETON WI 54914 - 9121 RIPON WI 54971 - 0 NEW LONDO~ WI 54961 -0 Telephone No. Telephone No. 426-1973 Telephone No. (920)731-2299 Telephone No. (920)748-6494 Telephone No. 262-982-5813 LotArea 1/4, 1/4,Section ,T N,R E(or)W Building Address Subdivision Name I Lot No. 2405 HEARTHSTONE DR Sarres Plat I 1 Block No. District(s) Permit No. Front Rear Left Right New [] Repair Single Family Entrance Panel Forced Air Furnace Fuel [] Alteration [] Raze Two Family Size: [] Radiant Baseboard or Panel Garage Service: [] Heat Pump Space Htg [] Addition [] Move [] Other (print): [] Overhead [] Boiler Water Htg [] Other: [] Underground [] Central Air Conditioning -- ~g unit will have 3 kilowatt or Other more installed electric space heating equip. [] Site Constructed Concrete Infiltration control option is: [] Full sealing Unfinished [] Manufactured Masonry Treated Wood Sewer of joints. [] Blower door test. [] Exterior Basement 1181 Sq. ft. [] Municipal air infiltration barder. Living Area 2263 Sq. ft. 1-Story Other [] Septic Garage 604 Sq. ft. I ~E~ 2-Story Permit No. Envelope 29901 BTU/HR Other [] Seasonal Infiltration 13850 BTU/HR I [] Permanent [] Municipal Utility Plus Basement [] Other [] Private On-Site Well $150,000.00 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 o~e,~t~ment or municipality; and certifies that all the above information is accurate. AppLICANT'S SIGNATURE '~.. ~------------~__ ~ DATE SIGNED This permit is issued pursuant-to the following conditions. Failure to comply may result in suspension or APPROVAL CON DITIONS revocation of this permit or other penalty SEE "STANDARD CONDITIONS OF APPROVAL" SHEET [] Town [] Village [] City [] County L_J State of: Municipality Number of Dwelling Location: City Of Oshkosh 7 0 - 2 6 6 Plan Review $75.00 Construction HVAC Name JOHN ZARATE Inspection Electrical Wis. Permit Seal $30.00 [] Plumbing Date 3/20/03 Other [] Erosion Tota~ $105.00 292126 Cert. No. 70330 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER Job Address PARKLAND DEDICATION FEE COLLECTION RECORD 2405 HEARTHSTONE DR D.B. CURTISS LTD Date 03/24/2003 Name Address 40 W. 6TH AVE Oshkosh WI 54902 Subdivision Sarres Plat Lot 1 Building Permit Number 0100358 Number of Dwelling Units 1 Fee Required .~ Number of Structures Fee Paid Date Date ) City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903-1130 O/HKO/H ON THE WATER Fax 920-236-5084 PLAN REVIEW Project Address:2405 HEARTHSTONE DR Submitted By:DB CURTISS LTD Plan Number:E1-028-0203R Reviewed By: JZ Phone: 920-236-5119 Date Reviewed: 3/20/2003 Phone Number: 426-1973 ['-] Mailed [~ Faxed [--] Delivered Date: Result of Plan Review: .~onditionally Approved Withheld Pending Approval of Additional Information Not-Approved, Plans Returned for Revisions Conditions Noted on Plan Review 1) Fire sePeration shall be provided between the living space and the garage. 2) Smoke detectors shall be installed per code. 75~, 0 '83.00' 83.00' 0