HomeMy WebLinkAbout0105074 BOSHKOSH
ON THE WATER
.lob Address 1758 OREGON ST
Designer
Category 110 - New Single Family
Type · Building (~ Sign
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner HRS DEVELOPMENT iNC Create Date
Contractor SALZER SIDING
Canopy (~Fence (::)Raze
No 105074
10/30/2003
Plan El-142-1003R
Zoning R-1
Unfinished/Basement 1204 Sq. Ft.
Finished/Living 1204 Sq. Ft.
Garage 504 Sq. Ft.
Foundation · Poured Concrete (~ Floating Slab
(~) Concrete Block (~ Post
Occupancy Permit Required
Park Dedication Not Required
Class of Const: 8
Rooms 3 Height
Bedrooms 3 Stories 1
Baths 1
(~) Pier (~ Other
(~) Treated Wood
Flood Plain No
# Dwelling Units
17 Ft.
Size IRR
[] Projection
Canopies
Signs
Height Permit Not Required
# Structures 1
Use/Nature qSFPJ New single family home with a 2 car attached garage, 12'xl 2' patio.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
MCM AIR INC
SECKAR ELECTRIC
$75,000.00 Plan Approval
$75.00 Permit Fee Paid
E~ Permit Voided
Plumbing Contractor WELLNITZ PLUMBING
$305.00 Park Dedication $0.00
Date 10/31/2003 Final/O.P. 00/00/0000
In the performance of this work I agree to peRorm all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restric'[ions of which it is not a party, if you perform the work
described in this permit application within an easement, the City stroegly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals~efore sta~n~ ~
Signature "~ w,~-'~"~"-/¢...--"/~/// /? .,-// Dater'S' ~/¢'"-L~
Address PO BOX 825 OSHKOSH ~,/ WI 54903 - 0825 Telephone Number (920) 23%5025
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 0105074
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.
HRS DEVELOPMENT INC PO BOX 825 OSHKOSH WI 54903 - 0825
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
SALZER SIDING 7351 PO BOX 825 OSHKOSH WI 54903 - 825 (920) 231-5025
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
SECKAR ELECTRIC 689404 5920 COURTNEY PLUMMER RD WINNECONNf WI 54986 - 0 (920) 582-4909
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.
WELLNITZ PLUMBING 223819 4810 AMBERWOOD LN APPLETON WI 54915 -0 (O)231-7390
~E~ ~1~'1L°t Area Sq. ft. 1/4, 1/4,Section ,T N, R E(or)W
Building Address Subdivision Name Lot No. Block No.
1758 OREGON ST
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 1204 Sq. ft. 5 S~QRIES · Treated Wood [] Municipal air infiltration barrier.
Living Area 1204 Sq. ft. [] 1-Story · Other [] Septic ~ ~~ ~! ~!at~
[] 2-Story Permit No. Envelope 22126 BTU/HR
Garage 504 Sq. ft. [] Other [] Seasonal Infiltration 15080 BTU/HR
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $115,000.00
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 condition of approval
[] 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 Nicole Krahn
Inspection
Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 10/30/03
Other [] Erosion
Total $105.00 · 292235 Cert. No. 248101
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Name HRSDEVELOPMENTINC
GRADE STAKE FORM
Address 1758 OREGON ST
Lot Block
Subdivision Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 10/30/2003 Set By
Grade Stake Number 7058
Create Date 10/30/2003
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.