HomeMy WebLinkAbout0105152 BOSHKOSH
ON THE WATER
.lob.Address 2421 2425 PATRIOT LN
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner MIDWEST GENERAL CONTRACTOR
Contractor MIDWEST HOMES OF WI
No 105152
Create Date 11/04/2003
Category 120 - New Duplex Plan El-148-1103R
Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning R-2PD Class of Const: 8 Size
Unfinished/Basement 1594 Sq. Ft. Rooms 5 Height 17 Ft. ~ Projection
Finished/Living 1594 Sq. Ft. Bedrooms 2 Stories 1 Canopies
Garage 572 Sq. Ft. Baths 2 Signs
Foundation (~ 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 2 # Structures 1
Use/Nature NEW DUPLEX/ Side by side 1 story with 2 car attached garages and 10' x 12' rear decks.
of Work
HVAC Contractor BREWER HEATING Plumbing Contractor WATTERS PLUMBING
Electric Contractor CUMINGS ELECTRIC
Fees: Valuation $214,000.00 Plan Approval $75.00 Permit Fee Paid $722.00 Park Dedication $330.00
Issued By: Date 11/05/2003 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
Agent/Owner
Address 100 N WESTHAVEN Oshkosh WI 54904 - 0000 Telephone Number 426-2045
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 o1o5152
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.
MIDWEST GENERAL CeNTRACTC 100 N WESTHAVEN DR Oshkosh WI 54901 - 0000
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
MIDWEST HOMES OF WI 679945 100 N WESTHAVEN Oshkosh WI 54904 - 0 426-2045
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.
BREWER HEATING 4220 N8804 N DOUGLAS STREET RIPEN W 54971 - 0 (920)748-6494
Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No.
WATTERS PLUMBING PO BOX 118 MENASHA WI 54952 - 118 800-801-8125,7,~
~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.
2421 2425 PATRIOT LN Westowne Heights 6
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 1594 Sq. ft. 5 S~QRIES · Treated Wood [] Municipal air infiltration barrier.
Living Area 1594 Sq. ft. [] 1-Story · Other [] Septic ~ ~~ ~! ~!at~
[] 2-Story Permit No. Envelope 21467 BTU/HR
Garage 572 Sq. ft. [] Other [] Seasonal Infiltration 9983 BTU/HR
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $250,000.00
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 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" SHEET
[] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location:
~ll~BIB~lOl~,i City Of Oshkosh 7 0 - 2 6 6
~IS UN!EORIVl ~ERI'vlI~ ~ERIVli~ iSSUED B~
~ Construction
Plan Review $75.00 _
HVAC Name JOHN ZARATE
Inspection
Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 11/4/03
Other [] Erosion
Total $105.00 · 292187 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address
Name
Address
Subdivision Westowne Heights
Building Permit Number
Number of Dwelling Units
Fee Required
PARKLAND DEDICATION FEE COLLECTION RECORD
2421 2425 PATRIOT LN
MIDWEST GENERAL CONTRACTOR
100 N WESTHAVEN DR
Date 11/05/2003
Oshkosh WI 54901
Lot 6
0105152
2 Number of Structures
$330.00 Fee Paid
Owner's Signature
Inspector's Signature
Date
Date
OSHKOSH
ON THE WATER
Name MIDWEST GENERAL CONTRACTOR
GRADE STAKE FORM
Address 2421 2425 PATRIOT LN
Lot 6 Block
Subdivision Westowne Heights Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 11/05/2003 Set By
Grade Stake Number 7063
Create Date 11/05/2003
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.