HomeMy WebLinkAbout0104776-BuildingOSHKOSH
ON THE WATER
.lob Address 2375 HICKORY CT
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner BARBARA STRAND
Contractor LEGACY BUILDERS INC
Category 110 - New Single Family
No 104776
Create Date 09/23/2003
Plan E1-128-0903R
Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning R-1 Class of Const: 8 Size irr
Unfinished/Basement 719 Sq. Ft. Rooms 5 Height 29 Ft. ~J Projection
Finished/Living 2703 Sq. Ft. Bedrooms 3 Stories 2 Canopies
Garage 672 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
of Work
NSFR/2 story home with a 2 car attached garage and screened in porch. NOTE: The basement floor can not be poured until an inspection is
=onducted. The column pads are to be sized to carry all the loads imposed. Column caps will be required due to the bearing requirements for
lhe beams. Provide layouts and plans on site.
HVAC Contractor MCM AIR INC Plumbing Contractor GERRITTS PLUMBING INC
Electric Contractor ZWIERS ELECTRIC
Fees: Valuation $173,000.00 Plan Approval $75.00 Permit Fee Paid $599.00 Park Dedication $100.00
Issued By: Date 10/14/2003 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.
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) and to secure any necessary approvals before starting such activity.
Signature Date
Address 5676 STATE RD 110
Agent/Owner
LARSEN
WI 54947 - 9672 Telephone Number
426-0745/836-1801
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 specified 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.
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0104776
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.
BARBARA STRAND 2615 WISCONSIN ST Oshkosh WI 54901 - 0000 235-3511
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
LEGACY BUILDERS INC 2179 5676 STATE RD 110 LARSEN WI 54947 - 9672 426-0745/836-1~
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
ZWIERS ELECTRIC 170545 N4189 MURPHY RD KAUKAUNA WI 54130 - 0 920-788-2533
Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
MCM AIR INC 4264 6122 COUNTY ROAD M WINNECONNfW 54986 - 9780 (920) 582-4402
Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No.
GERRITTS PLUMBING INC MP7214 709 DEERVIEW DR APPLETON WI 54915 -0 920-739-1399
I Lot Area Sq. ft. 1/4, 1/4, Section , T N, R E(or)W
Building Address Subdivision Name Lot No. Block No.
2375 HICKORY CT 11th Add to North Point Plat 299
Zoning District(s) lZoning Permit No. Front Rear Left Right
J __Setbacks ft ......... _f_t_: ft ft
, .,.,~= ~=u~E, --~ ~r~-,, ~ ..............................
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
] 8~l~,lS~ ~Y~E ~ f~OND~ION [] 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 719 Sq. ft. S 8~IES · Treated Wood [] Municipal air infiltration barrier.
Living Area 2703 Sq. ft. [] 1-Story · Other [] Septic
[] 2-Story Permit No. Envelope 31749 BTU/HR
Garage 672 Sq. ft. [] Other [] Seasonal Infiltration 22278 BTU/HR
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $251,900.00
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 ~ERMI~ ~ERIVlI~ iSSUED B~
~SS=E= SE~ Ne
~ Construction
Plan Review $75.00 _
HVAC Name Nicole Krahn
Inspection
Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 1 0/1/03
Other [] Erosion
Total $105.00 · 292230 Cert. No. 248101
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Name BARBARA STRAND
GRADE STAKE FORM
Address 2375 HICKORY CT
Lot 299 Block
Subdivision 11th Add to North Point Plat Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 09/24/2003 Set By
D.W.G. BK-593, P-73
Grade Stake Number 7043
Create Date 09/23/2003
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
Job Address 2375 HICKORY CT
Name BARBARA STRAND
Address 2615 WISCONSIN ST
Subdivision 11th Add to North Point Plat
Building Permit Number 0104776
Number of Dwelling Units 1
Fee Required
Owner's Signature
Inspector's Signature
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 10/14/2003
Oshkosh WI 54901
Lot 299
Number of Structures I
$100.00 Fee Paid
Date
Date
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2315 J4fckor~ Ct..
Oehko&h, WI
Lot2~e, Eleventh Adc::Htfon
to NQrth Pornt Plat
111=20'
Ero61on Control
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