HomeMy WebLinkAbout0105297-Building(~ CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
JobAddress 650WEATHERSTONE DR Owner CURTISS HOMES
Designer Contractor D B CURTISS LTD
Category 110 - New Single Family
No 105297
Create Date 11/05/2003
Plan El-145-1003R
Type 10 Building ~ Sign ~ Canopy ~ Fence ~ Raze
Zoning R-1 Class of Const:
Unfinished/Basement 1507 Sq. Ft. Rooms 3 Height 21
Finished/Living 1507 Sq. Ft. Bedrooms 3 Stories 1
Garage 630 Sq. Ft. Baths 2
Foundation O Poured Concrete ~ Floating Slab ~ Pier ~ Other
~ Concrete Block ~ Post ~ Treated Wood
Occupancy Permit Required Flood Plain No
Park Dedication Required # Dwelling Units 1
Ft.
Size IRR
~J Projection
Canopies
Signs
Height Permit Not Required
# Structures 1
Use/Nature NSFR/ LATE PERMIT/ 1 story home with a 2 car attached garage,
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
BREWER HEATING
SCHOMMER ELECTRICAL CON
$105,000.00 Plan Approval $75.00
Plumbing Contractor FIELDS PLUMBING
Permit Fee Paid
$745.00 Park Dedication $200.00
Date 11/13/2003 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 40 W 6TH AVE OSHKOSH WI 54902 - 0000 Telephone Number 426-1973
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 0105297
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.
CURTISS HOMES 40 W 6TH AVE Oshkosh WI 54902 - 0000 426-1973
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
D B CURTISS LTD 066 40 W 6TH AVE OSHKOSH WI 54902 - 0 426-1973
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
SCHeMMER ELECTRICAL CON 170465 N 164 TWO MILE RD APPLETON WI 54914 - 9121 (920) 731-2299
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.
FIELDS PLUMBING 131540 1939 SOUTHLAND LN NEW LONDOI~ WI 54961 - 0 262-982-5813
I Lot Area sq. ft. 1/4, 1/4,section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
650 WEATHERSTONE DR SARRES PLAT 25
Zoning District(s) Zoning Permit No. Front ft. Rear Left Right
Setbacks ft. ft ft
~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: 100 amp [] Radiant Baseboard or Panel Gas ,
[] Addition [] Garage Service: [] Heat Pump Space Htg [] [] [] [] [] []
[] Move [] Other (print): [] Overhead
[] Boiler Water Htg [] [] [] [] [] []
[] Underground [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or
[] Other: [] Other
[] 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 1507 Sq. ft. · Treated Wood [] Municipal air infiltration barrier.
Living Area 1507 Sq. ft. [] 1-Story · Other
Garage 630 Sq. ft. [] 2-Story ~ [] Septic
Permit No. Envelope 26692 BTU/HR
[] Other [] Seasonal Infiltration 9806 BTU/HR
[] Permanent [] Municipal Utility ~ ~ ~i ~ird~ ~
[] Plus Basement [] Other [] Private On-Site Well $127,000.00
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
I~I1'-,1~ [] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location:
~i~Bi~l~N City Of Oshkosh 7 0 - 2 6 6
~ Construction
Plan Review $75.00 _
HVAC Name JOHN ZARATE
Inspection
Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 11/13/03
Other [] Erosion
Total $105.00 · 292238 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
,Job Address 650 WEATHERSTONE DR
Name CURTISS HOMES
Address 40 W 6TH AVE
Subdivision SARRES PLAT
Building Permit Number 0105297
Number of Dwelling Units
Fee Required
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 11/13/2003
Oshkosh WI 54902
Lot 25
1 Number of Structures
$200.00 Fee Paid
Owner's Signature
Inspector's Signature
Date
Date
OSHKOSH
ON THE WATER
Name KURTA KOEPPLER
GRADE STAKE FORM
Address 650WEATHERSTONE DR
Lot 25 Block
Subdivision SARRES PLAT Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 11/13/2003 Set By
Grade Stake Number 7067
Create Date 11/13/2003
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.