HomeMy WebLinkAbout0105574 BOSHKOSH
ON THE WATER
.lob Address 35 JACOB AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner GARRY H DECKER & CO LLC
Contractor GARRY H DECKER & CO LLC
Category 110 - New Single Family
No 105574
Create Date 11/26/2003
Plan E1-152-1103MP
Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning Class of Const: 8 Size IRRG
Unfinished/Basement 1183 Sq. Ft. Rooms 6 Height 20 Ft. ~J Projection
Finished/Living 1329 Sq. Ft. Bedrooms 3 Stories Quad-level Canopies
Garage 672 Sq. Ft. Baths 2 Signs
Foundation O Poured Concrete (~) Floating Slab (~) Pier (~) Other
(~) Concrete Block (~) Post (~) Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use/Nature NSFR/ New single family quad level, 2 car attached garage. The driveway will be 21' wide.12' x 12'-6" Patio.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
CONDON TOTAL COMFORT
CUMINGS ELECTRIC INC
Plumbing Contractor WATTERS PLUMBING
$96,700.00 Plan Approval $75.00 Permit Fee Paid
$371.00 Park Dedication $200.00
Date 12/03/2003 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 1113 OREGON ST OSHKOSH WI 54902 - 6484 Telephone Number 235-8035
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.
OSHKOSH
ON THE WATER
Name GARRY H DECKER & CO LLC
GRADE STAKE FORM
Address 35 JACOB AVE
Lot 16 Block
Subdivision Patriarchs Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 11/26/2003 Set By
D.W.G. BK- 593, P-31
Grade Stake Number 7070
Create Date 11/26/2003
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.
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0105574
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.
GARRY H DECKER & CO LLC 1113 OREGON ST Oshkosh WI 54902 - 0000
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
GARRY H DECKER & CO LLC 7739 1113 OREGON ST OSHKOSH WI 54902 - 6484 235-8035
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
CUMINGS ELECTRIC INC 170792 PO BOX749 NEENAH WI 54957 - 749 920-722-1240
Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
CeNDeN TOTAL COMFORT 3202 11 BLACKBURN ST RIPEN W 54971 - 184 (920) 748-5050
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,!
I Lot Area sq. ft. 1/4, 1/4,section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
35 JACOB AVE Patriarchs 16
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: 200 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 1183 Sq. ft. · Treated Wood [] Municipal air infiltration barrier.
Living Area 1329 Sq. ft. [] 1-Story · Other
Garage 672 Sq. ft. [] 2-Story ~ [] Septic
Permit No. Envelope 25870 BTU/HR
[] Other [] Seasonal Infiltration 15373 BTU/HR
Quad-level [] Permanent [] Municipal Utility ~ ~ ~i ~ird~ ~
[] Plus Basement [] Other [] Private On-Site Well $109,000.00
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 11/26/03
Other [] Erosion
Total $105.00 · 306825 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
.lob Address 35 JACOB AVE
Name GARRY H DECKER & CO LLC
Address 1113 OREGON ST
Subdivision Patriarchs
Building Permit Number 0105574
Number of Dwelling Units 1
Fee Required $200.00
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 12/03/2003
Oshkosh WI 54902
Lot 16
Number of Structures
Fee Paid
Owner's Signature
Inspector's Signature
Date
Date