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Home My WebLink About0100571-Building CITY OF OSHKOSH OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3145 HALLIE HOLLOW CT Owner DANIEL/KIMBERLY WILLIAMS Designer Contractor CUSTOM BUILT HOMES Category 110 - New Single Family Type · Building O Sign (~) Canopy ~) Fence (~) Raze No 0100571 Create Date 03/26/2003 Plan E1-35-0303 Zoning Class of Const: 8 Unfinished/Basement 1974 Sq. Ft. Rooms 0 Finished/Living 1974 Sq. Ft. Bedrooms 0 Garage 898 Sq. Ft. Baths 0 Foundation · Poured Concrete (~ Floating Slab C) Pier C) Concrete Block (~) Post (~ Treated Wood Occupancy Permit Required Flood Plain No Park Dedication Required # Dwelling Units 1 Height 0 Stories 1 C) Other Ft. Size IRREG [] Projection Canopies Signs Height Permit Not Required # Structures 1 Use/Nature New SFRwith attached garage. of Work HVAC Contractor Electric Contractor Fees: Valuation Issued By: ~/~ Plumbing Contractor $182,000.00 Plan Approval $75.00 Permit Fee Paid $626.00 Park Dedication $100.00 Date 04/02/2003 FinallO.P. 00/00/0000 [] Permit Voided In the performan~h_i.s w~gree to perform all work pursuant to rules governing the described construction. Signature"~ ",.-,- ~'~-~w~.~1_.~-~- A~Owner Date ~' ~" '"' ~ ~:::~ Address 2274 WILLOW WAY DR OSHKOSH WI 54904 - 7771 Telephone Number 426-1556 OSHKOSH ON THE WATER GRADE STAKE FORM Name DANIEL/KIMBERLY WILLIAMS Address Lot Block Subdivision Zone Street Number Lot Dimensions 3145 HALLIE HOLLOW CT Grade Stake Number 6922 Create Date 03/28/2003 L._J Sidewalk Existing Ward Building Grade Elevation Stakes Set At Site 03/31/2003 Set By D.W.G. BK - 586, P - 54 Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. .~~ Wisconsin 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 IApplication No. BUILDING PERMIT ~ APPLICATION IP~rce~ ~°- [] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other: Owner's Name DANIEL / KIMBERLY WILLIAMS Contractor: L~J Conl~ Elec'~] HVAC ]__] Plbg CUSTOM BUILT HOMES Contractor: ~ Con ~ Elecu HVAC]__J Plbg Contractor: J_.j Con ~ J Elecu HVAC [] Plbg Contractor: L_~ Con ]__J Elec[~ HVAC[~ Plbg Lot Area Lic/Cert # 243890 Lic/Cert # Lic/Cert # Lic/Cert # Mailing Address 2274 WILLOW WAY DR OSHKOSH Mailing Address 2274 WILLOW WAY DR WI 54904- 0000 Mailing Address OSHKOSH WI 54904- 7771 Mailing Address Telephone No. Telephone No. 426-1556 Telephone No. -0 Telephone No. -0 Telephone No. -0 Mailing Address Sq. ft.I Subdivision Name 1/4,Section ,T N,R Building Address 3145 HALLIE HOLLOW CT District(s) Zoning Permit No. ILot No. Block No. Front Rear Left Right New [] Repair [] Alteration [] Raze [] Addition [] Move [] Other: Single Family Entrance Panel Two Family Size: 200 am Garage Service: [] Other (print): [] Overhead [] Underground [] Site Constructed Concrete Unfinished [] Manufactured Masonry Sewer Basement 1974 Sq. ft. Treated Wood [] Municipal Living Area 1974 Sq. ff. 1-Story Other [] Septic [] 2-Story Permit No. Garage 898 Sq. ft. [] Other [] Seasonal [] Permanent [] Other [] Plus Basement Forced Air Fumace [] Radiant Baseboard or Panel [] Heat Pump [] Boiler [] Central Air Conditioning Other [] Municipal Utility [] Private On-Site Well Fuel Space Htg Water Htg g unit will have 3 kilowatt or more installed electric space heating equip. Infiltration control option is: [] Full sealing of joints. [] Blower door test. [] Extedor air infiltration barder. Envelope 34367 BTU/HR Infiltration 25672 BTU/HR $190,000.00 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,~,exlTf 'r,~e~3wimplied~on the Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SlGNATuRE~,.~_. ~'~'~ DATE SIGNED '~'-'Z--"" ~ ~, ~'his permit is issued pursuant to the following conditions. Failure to comply may result in suspension or APPROVAL CONDITIONS / ~env~ocation of this permit or other penalty Maintain erosion control until lawn is fully established. [] Town [] Village [] City [] County I~J State of: City Of Oshkosh Municipality Number of Dwelling Location: 7 0 2 6 6 Plan Review $75.00 Construction HVAC Name Allyn Dannhoff Inspection Electrical Wis. Permit Seal $30.00 [] Plumbing Date 3/28/03 Other [] Erosion Total $105.00 288728 Cert. No. 70264 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER Job Address Name Address Subdivision Building Permit Number Number of Dwelling Units Fee Required Owner's Signature Inspector's Signature PARKLAND DEDICATION FEE COLLECTION RECORD 3145 HALLIE HOLLOW CT DANIEL / KIMBERLY WILLIAMS 2274 WILLOW WAY DR 0100571 1 $100.00 Date 04/02/2003 OSHKOSH WI 54904 Lot Number of Structures Fee Paid Date ~'--'Z. -' c~'~ Date CUSTOM BUILT HOMES LLO, / 2~74 WILLOW WAY DRIVE P~ ~ '~/l~ ' HA~I[ HOLLOW COURT LOT