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OSHKOSH
ON THE WATER
Job Address 2727 CLOVER ST
Designer
Category 110 - New Single Family
Type · Building
Zoning
Unfinished/Basement 1035 Sq. Ft. Rooms
Finished/Living 1035 Sq. Ft. Bedrooms __
Garage 748 Sq. Ft. Baths
· Poured Concrete (~ Floating Slab (~ Pier
C) concrete Block (~ Post
Required
Required
Sign
Occupancy Permit
Park Dedication
Use/Nature
of Work
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
No 0102027
Owner DEWEY HOMES Create Date 05/28/2003
Contractor DEWEY HOMES INC
Plan E1-069-0503R
Canopy ~) Fence ~) Raze
Class of Const: 8 Size Irrg
5 Height 20 Ft. [] Projection
2 Stories Bi-level Canopies
I Signs
Other
O Treated Wood
Flood Plain No Height Permit Not Required
# Dwelling Units 1 # Structures 1
~ISFPJ New single family with 3 car attached garage and 12' x 12' deck. Ddveway shall not exceed 24' wide at the front property line.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
AMERICAN HEATING & A C CO
CUMINGS ELECTRIC
$85,200.00 Plan Approval
Plumbing Contractor P&S PLUMBING
$75,00 Permit Fee Paid $338.00 Park Dedication $100.00
Date 06/06/2003 FinallO.P. 00/00/0000
[] Permit Voided ]
In the peff~ance of this~l agree to per.work pursuant to rules governing the described construction.
Signa~~..~~~ --~ Date
I ~/,/ /~ AgentJOwner
Address 3876 PURPLE CPzE'S~R OSHKOSH WI 54901 - 8212 Telephone Number
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Name DEWEY HOMES Address
Lot 155 Block
Subdivision Rusch Kienast 2nd Add't Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 05/29/2003 Set By
2727 CLOVER ST
D.W.G. BK- 588, P- 58
Grade Stake Number 6957
Create Date 05/28/2003
Ward
b..J Sidewalk Existing
Department of Public Works
l, the undersigned, owner or agent of the above described property agree ~~~~cavation
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
BUILDING PERMIT
APPLICATION
Application No.
0102027
=arcal No.
Constr [] HVAC [] Elec [] PIbg [] Erosion [] Other:
Mailing Address Telephone No.
3876 PURPLE CREST DR Oshkosh WI 54901 - 0000
Mailing Address Telephone No.
3876 PURPLE CREST DR OSHKOSH WI 54901 - 8212 920-231-3389
Mailing Address Te]ephooe No.
PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 1231-5946
Mailing Address Telephone No.
1129 MICHIGAN AVE OSHKOSH WI 54902 - 6437 (920) 235-8090
Mailing Address Telephone No.
APPLETON WI 54913 -0 734-3912
1/4, 1/4,Section ,T N,R
Subdivision Name Lot NO. Block No.
Rusch Kienast 2nd Add't 155
Front Rear Left Right
Owner's Name
DEWEY HOMES
Contractor: [] Con[] EIoc[]
DEWEY HOMES INC
Contractor:
CUMINGS ELECTRIC
Contractor:
&ACCO
Contractor:~] Con
P&S PLUMBING
Lot Area
Building Address
2727 CLOVER ST
Zoning Permit No.
New [] Repair Single Family
I[]~Alterati°n []Raze Two FamilyGarage
Addition [] Move Other (pdnt):
[] Other:
--ntranco Panel Forced Air Fumace
~ize: 200am [] Radiant Baseboard or Pan
.~ervice:
Overhead
Underground
Site Constructed Concrete
Unfinished ~ Manufactured Masonry
Treated Wood
' B~as~m~nti'' 1035 Sg!~i Otl~er
L"ivin~ ~ea :; 1035 Sql ltl 1-Story,
[] 2-Story
----~ ' ~;: 748 Sq. ff. [] Other [] Seasonal
, Bi-level [] Permanent
[] Plus Basement [] Other
[] Heat Pump
Boiler
Central Air Conditioning
Other
Fuel
Space Htg
Water Htg
I unit Will have 3 kilowatt or
more installed electric s
Infiltration control option is: ~
Sewer ~' ! ~ of joints. [] Blower door test. []
Mun!cipal ~ ~' ~' air infiltration barderJ ~ ,,~ ~
Septic ~ -
Permit No. Envelope 20311 BTU/HR
infiltrati°n 12974 BTu/HR
[] Municipal Utility
[] Private On-Site Well $97,000.00
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-~pJie~'~on the Department or..~P/TJni~ipality; and certifies that all the above information is accurate.
o the following conditions. ~
~oblylowin g con ditio ns.
SEE "STANDARD CONDITIONS OF APPROVAL/SHEET '
[] Town [] Village [] City [] County LJ 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 5/29/03
Other [] Erosion
Total $105.00 292146 Cert. No. 70330
SBD-5823 (R. 07~92)
OSHKOSH
ON THE WATER
.lob Address
PARKLAND DEDICATION FEE COLLECTION RECORD
2727 CLOVER ST Date 06/06/2003
Name DEWEY HOMES
Address 3876 PURPLE CREST DR
Oshkosh WI 54901
Subdivision Rusch Kienast 2nd Add't
Lot 155
Building Permit Number 0102027
Number of Dwelling Units
1 Number of Structures 1
Fee Required $100.00
Fee Paid
Date