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HomeMy WebLinkAbout0101682 BOSHKOSH ON THE WATER .lob .Address 55 JACOB AVE Designer CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner GARRY DECKER & CO LLC Contractor GARRY H DECKER & CO Category 110 - New Single Family No 0101682 Create Date 05/21/2003 Plan E1-064-0503R Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze Zoning r-1 Class of Const: 8 Size irr Unfinished/Basement 688 Sq. Ft. Rooms 3 Height 24 Ft. ~J Projection Finished/Living 1408 Sq. Ft. Bedrooms 3 Stories 2 Canopies Garage 624 Sq. Ft. Baths 3 Signs Foundation O Poured Concrete (~ Floating Slab (~ Pier (~ Other (~ Concrete Block (~ Post (~ Treated Wood Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 1 # Structures 1 Use/Nature NSFR/2 story home with a 2 car attached garage, NO PATIO OR DECK. of Work HVAC Contractor CONDON TOTAL COMFORT Plumbing Contractor WATTERS PLUMBING Electric Contractor CUMINGS ELECTRIC Fees: Valuation $92,363.00 Plan Approval $75.00 Permit Fee Paid $359.00 Park Dedication $100.00 Issued By: Date 05/22/2003 Final/O.P. 00/00/0000 Permit Voided In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner OSHKOSH Address 1113 OREGON ST WI 54902 - 6484 Telephone Number 235-8035, M 379-803{ OSHKOSH ON THE WATER Name GARRY DECKER & CO LLC GRADE STAKE FORM Address 55 JACOB AVE Lot 18 Block Subdivision Patriarchs Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 05/21/2003 Set By Grade Stake Number 6954 Create Date 05/21/2003 Ward Sidewalk Existing 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. OSHKOSH ON THE WATER .lob Address 55 JACOB AVE Name GARRY DECKER & CO LLC Address Subdivision Patriarchs Building Permit Number 0101652 Number of Dwelling Units 1 Fee Required $100.00 PARKLAND DEDICATION FEE COLLECTION RECORD Date 05/22/2003 Oshkosh WI 54902 Lot 18 Number of Structures Fee Paid Owner's Signature Inspector's Signature Date Date Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0101682 P.e. 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. GARRY DECKER & CO LLC Oshkosh WI 54902 - 0000 235-8035 Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No. GARRY H DECKER & CO 7739 1113 OREGON ST OSHKOSH WI 54902 - 6484 235-8035, M 37! Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No. CUMINGS ELECTRIC 170792 PO BOX749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 231-5946 Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No. CeNDeN TOTAL COMFORT 3202 11 BLACKBURN ST RIPEN W 54971 - 184 (920) 748-5050 Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No. WATTERS PLUMBING 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 800-801-8125,7,~ ~B~EB~ ~8~1~ IL°t Area Sq. ft. 1/4, 1/4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 55 JACOB AVE Patriarchs 18 Zoning District(s) lZoning Permit No. Front Rear Left Right J __Setbacks ft ......... _f_t= ft ft ~ E~E= R!=~ 9 HV~= E=U!EMEN .............................. L~J New [] Repair [] Single Family Entrance Panel L~J Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola [] Alteration [] Raze [] Two Family Size: 200 amp [] Radiant Baseboard or Panel Gas , [] Addition [] Garage Service: [] Heat Pump Space Htg [] [] [] [] [] [] [] Move [] Other (print): [] Overhead [] Boiler Water Htg [] [] [] [] [] [] [] Other: [] Underground [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or ~ EOUND~TIQN [] Other = more installed electric space heating equip. [] Site Constructed · Concrete - Infiltration control option is: [] Full sealing Unfinished [] Manufactured · Masonry Sewer of joints. [] Blower door test. [] Exterior Basement 688 Sq. ft. 5 S~QRIES · Treated Wood [] Municipal air infiltration barrier. Living Area 1408 Sq. ft. [] 1-Story · Other [] Septic ~ ~~ ~! ~!at~ [] 2-Story Permit No. Envelope 29725 BTU/HR Garage 624 Sq. ft. [] Other [] Seasonal Infiltration 15471 BTU/HR [] Permanent [] Municipal Utility [] Plus Basement [] Other [] Private On-Site Well $135,900.00 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 implied, on the Department 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 CONDITIONS revocation of this permit or other penalty see standard conditions of approval [] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location: ~II~BIB~ION City Of Oshkosh 7 0 - 2 6 6 ~IS UN!EORIVl ~ERI'vlI~ ~ERIVli~ iSSUED B~ ~ Construction Plan Review $75.00 _ HVAC Name Nicole Krahn Inspection Electrical Wis. Permit Seal $30.00 [~ Plumbing Date 05/21/2003 Other [] Erosion Total $105.00 · 292199 Cert. No. 248101 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER Job Address Designer Category 55 JACOB AVE 110 - New Single Family CITY OF OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD Owner GARRY DECKER & CO LLC Contractor GARRY H DECKER & CO Type O Building (~ Sign (~) Canopy (~ Fence (~ Raze No 0101682 Create Date 05/21/2003 Plan E1-064-0503R Zoning r-1 Class of Const: 8 Unfinished/Basement 688 Sq. Ft. Rooms 3 Finished/Living 1408 Sq. Ft. Bedrooms 3 Garage 624 Sq. Ft. Baths 3 Foundation O Poured Concrete (~ Floating Slab (~) Pier O Concrete Block (~) Post O Treated Wood Occupancy Permit Required Flood Plain No Park Dedication Required # Dwelling Units 1 Height Stories 2 24 Ft. Other Size irr [] ProjectionI Canopies 0 Signs 0 Height Permit Not Required # Structures I Use/Nature NSFPJ 2 story home with a 2 car attached garage, NO PATIO OR DECK. of Work HVAC Contractor CONDON TOTAL COMFORT Electric Contractor CUMINGS ELECTRIC Fees: Valuation $92,363.00 Plan Approval Issued By: Plumbing Contractor WATTERS PLUMBING $75.00 Permit Fee Paid [] Permit Voided $359.00 Park Dedication $100.00 Date 05/22/2003 Final/O.P. 00/00/0000 Signature(~ ..~,~"~~~ , Agent/Owner Date Address 1113 OREGON ST OSHKOSH WI 54902 - 6484 Telephone Number 235-8035, M 379-803 H Garry H. De~.~ & Co., LLC 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 [] Constr Lot Area WISCONSIN UNIFORM IApplication No. BUILDING PERMIT ~_~82 APPLICATION IPa~cel No. [] HVAC [] Elec [] Plbg [] Erosion [] Other: Mailing Address Oshkosh WI 54902- 0000 Mailing Address 1113 OREGON ST OSHKOSH WI 54902 - 6484 Mailing Address PO BOX749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 Mailing Address 11 BLACKBURN ST RIPON WI 54971 - 184 Mailing Address 1303 MIDWAY RD, PO BOX 118 Building Address Subdivision Name 55 JACOB AVE Patriarchs MENASHA WI 54952 - 1129 1/4, 1/4,Section Telephone No. 235-8035 Telephone No. 235-8035, M 37 Telephone No. 231-5946 Telephone No. (920)748-5050 !Telephone No. 800-801-8125,7: ,T N, R E(or)W Lot No. Block No. 18 District(s) Permit No. Front Rear Left Right New [] Repair Single Family Entrance Panel [] Alteration [] Raze Two Family Size: 200 am Garage Service: -- [] Addition [] Move [] Other (print): [] Overhead [] Other: [] Underground Fuel Space Htg Wa~r Htg g unit willhave 3kilowaE or Forced Air Furnace [] Radiant Baseboard or Panel [] Heat Pump []~ Boiler Central Air Conditioning Other [] Plus Basement [] Site Constructed Concrete more installed electric space heating equip. Infiltration control option is: [] Full:sealing Unfinished [] Manufactured Masonry Sewer of joints. [] Blower door test: [] EXterior Basement 688 Sq. ft. [] Treated Wood [] Municipal air infiltration barrier. ' Living Area 1408 Sq. ft. 1-Story [] Other [] Septic ~. [] 2-Story Permit No. ~ Envelope 29725 BTU/HR Garage 624 Sq. ft. [] Other [] Seasonal Infiltration 15471 BTU/HR ] Permanent [] Other [] Municipal Utility [] Private On-Site Well $135,900.00 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, expre__s~or ir~plied, o/~ the Department, or munJ'cipality;/~d certifies that all the above information is accurate. . © % T~itis -- :4-= ~ = ~ issued pursuant to the following conditions. Failure to comply may result in suspension or APPROVAL CONDITIONS revocation of this permit or other penalty see standard conditions of approval [] Town [] Village [] City [] County [_J State of: City Of Oshkosh Municipality Number of Dwelling Location: 7 0 2 6 6 Plan Review $75.00 Construction HVAC Name Nicole Krahn Inspection Electrical Wis. Permit Seal $30.00 [] Plumbing Date 05/21/2003 Other [] Erosion Total $105.00 [] 292199 Cert. No. 248101 SBD-5823(R. 07/92) OSHKOSH ON THE WATER GRADE STAKE FORM Name GARRY DECKER & CO LLC Address Lot 18 Block Subdivision Patriamhs Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 05/21/2003 Set By 55 JACOB AVE Grade Stake Number 6954 Create Date 05/21/2003 Ward L_~ Sidewalk Existing Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the grade established be;fore excavation has commenced. (~~ ~ .~r .~-~(..~,/ OSHKOSH ON THE WATER Job Address PARKLAND DEDICATION FEE COLLECTION RECORD 55 JACOB AVE GARRY DECKER & CO LLC Date 05/22/2003 Name Address Oshkosh WI 54902 Subdivision Patriarchs Lot 18 Building Permit Number 0101682 Number of Dwelling Units 1 Number of Structures Fee Required Owner's Signature Inspector's Signature $100.00 Fee Paid Date Date