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Home My WebLink About105574 � " � CITY OF OSHKOSH No 10557��;�r` ; a OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD � � T�`� � ON THE WATER � ��qr� Job Address 35 JACOB AVE _ Owner GARRY H DECKER&CO LLC Create Date 11/26/2003 - ; Designer Contractor GARRY H DECKER&CO LLC Category 110-New Single Family Plan E1-152-1103MP Type � Building � Sign _ � Canopy � Fence � Raze � ' Zoning Class of Const: 8 Size IRRG Unfinished/Basement 1183 Sq.Ft. Rooms 6 Height 20 Ft. � Projection i Finished/Living 1329 Sq.Ft. Bedrooms 3 Stories Quad-level Canopies 0 Garage 672 Sq.Ft. Baths 2 Signs 0 Foundation � Poured Concrete 0 Floating Slab � Pier 0 Other � Concrete Block � Post � Treated Wood Occupancy Permit Required Flood Plain No Height Permit Required Park Dedication Required #Dwelling Units 1 #Structures 1 ___- — -- - Use/Nature INSFR/ New singie family quad level,2 car attached garage. The driveway will be 21'wide.12'x 12'-6"Patio. of Work HVAC Contractor CONDON TOTAL COMFORT Plumbing Contractor WATTERS PLUMBING Electric Contractor CUMiNGS ELECTRIC INC Fees: Valuation $96,700.00 Plan Approval $75.00 Permit Fee Paid $371.00 Park Dedication $200.00 issued By: � Date 12/03/2003 Final/O.P. 00/00/0000 � Permit Voided I In the performance of this work I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement holder(s)a o se6ure any_n ssa a r als bef re startin ch activity. Signatu c�.r��L/ Date J�- `U ` � AgenUOwner Address 1113 OREGON ST OSHKOSH WI 54902 - 6484 Telephone Number 235-8035 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone Number. Unless speci�ed otherwise,we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. . � $C��l;`n ��. C; � 1 l� OSHKOSH GRADE STAKE FORM ,09� E ON THE WATER Grade Stake Number 7070 - Name GARRY H DECKER&CO LLC Address 35 JACOB AVE Create Date 11/26/2003 Lot 16 Block Ward Subdivision Patriarchs Zone Street Number Lot Dimensions C, Sidewalk Existing ` Building Grade Elevation Stakes Set At Site 11/26/2003 Set By D.W.G. BK - 593, P-31 Department of Pub�ic Works I, the undersigned, owner or agent of the above described property agree to have the grade established befor excavation has commenced. � � � � Wisconsin Deoartmentof Industry, WISCONSIN UNIFORM Application No. "°`S�; Labcr and Human Relations 9 a Safety and Buildings Division BUILDING PERMIT 0105574 � P.O.Box 2509 APPLICATION Parcel No. �'�`� Madison,WI 53701-2509 Wisconsin Statues 101.63, 101.73 : � � ��[�� :;�� ✓ Constr � HVAC � Elec � Plbg �✓ Erosion ❑ Other. ` Owner's Name Mailing Address Telephone No. t GARRY H DECKER&CO LLC 1113 OREGON ST Oshkosh WI 54902- 0000 Contractor: ✓ Con� Elec� HVAC Plbg Lic/Cert# Mailing Address Telephone No. GARRY H DECKER&CO LLC 7739 1113 OREGON ST OSHKOSH WI 54902-6484 235-8035 Contractor: Con ✓ Elec HVAC Plbg LiGCert# Mailing Address Telephone No. CUMINGS ELECTRIC INC 170792 PO BOX 749 NEENAH WI 54957 -749 920-722-1240 ConUactor: Con Elec ✓ HVAC Plbg Lic/Cert# Mailing Address Telephone No. ONDON TOTAL COMFORT 3202 11 BLACKBURN ST RIPON WI 54971 -184 (920)748-5050 Contractor. Con E�ec HVAC ✓ Plbg Lic/Cert# Mailing Address Telephone No. WATTERS PLUMBING PO BOX 118 MENASHA WI 54952 -118 800-801-8125,7; ��" Lot Area S .ft. 1/4, 1/4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 35 JACOB AVE Patriarchs 16 Zoning District(s) Zoning Permit No. Front Rear Left Right GTRIGI�;�: ; ✓ New � Repair ✓ Single Family Entrance Panel ✓ Forced Air Furnace Nat. L.P. Oil Elec. Solid Sola '' � Alteration Two Family Size: 200 am ❑ Radiant Baseboard or Panel Fuel Gas * � Raze � Addition 8 Garage Service: � Heat Pump Space Htg ❑✓ ❑ ❑ ❑ ❑ ❑ � Move � pther(print): � Overhead � goiler Water Htg ❑✓ ❑ � � � � [✓] Underground ❑ Other: � Central Air Conditioning * Dwelling unit will have 3 kiiowatt or � ��NDATION' ° Other more installed electric space heating equip. ❑✓ Site Constructed Concrete ,�� , ,�i �r, Manufactured ❑ Masonry InfiRration control option is:❑ Full sealing Unfinished ❑ Sewer of joints. ❑ Blower door test. ❑ Exterior Basement 1183 Sq.ft. " ❑ Treated Wood � Municipal air infiltration barrier. � Other Living Area 1329 Sq.ft. 1-Story , � Septic : � 2-Story °� Permit No. Envelope 25870 BTU/HR Garage 672 Sq.ft. � Seasonal - BTU/HR � Other , : Infiitration 15373 Quad-level ❑`� Permanent a Municipal Utility � Plus Basement ❑ Other � Private On-Site Well $109,000.00 The applicant agrees to comply with ali applicable codes,statues and ordinances and with the conditions of this permit,understands that the issuance of the permit creates no legal liability ss r iraplie on the Dep m nt or m nicipality and certifies that all the above information is accurate. APPLICANT'S SIGNATU C DATE SIGNED/,� �j-�� APPROVAL CONDITIONS This ermit 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 �✓ City � County State of: Municipaliry Number of Dweiling Location: city or osnkosn 7 0 - 2 6 6 ��. �.� ; � Plan Review $75.00 � Construction HVAC Name JOHN ZARATE Inspection Electricai -- Wis.Permit Seal $30.00 � Plumbing Date 11/26/03 Other �✓ Erosion Total $105.00 ❑ 306825 Cert.No. 70330 SBD-5823(R.07/92) � 5c,��`' . OSHKOSH PARKLAND DEDICATION FEE COLLECTION RECORD �,�, � '�� ON THE WATER �1 Job Address 35 JACOB AVE Date 12/03/2003 Q'q'' ! Name GARRY H DECKER&CO LLC Address 1113 OREGON ST Oshkosh WI 54902 Subdivision Patriarchs Lot 16 Building Permit Number 0105574 Number of Dwelling Units 1 Number of Structures 1 Fee Required $200.00 Fee Paid Owner's Signature � Date � —� � Inspector's Signature Date _ . NOU-]8-2003 TUE 01 �50 PM NQFFKE OSH FAX N0, 2353061 P. 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