HomeMy WebLinkAbout0106762-Building
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OSHKOSH
ON THE WATER
Job Address 2485 SHORE PRESERVE DR
CITY OF OSHKOSH
No
106762
BUILDING PERMIT - APPLICATION AND RECORD
Owner
HAROLD SALZER JR
Create Date
02/23/2004
Designer
Contractor
SALZER SIDING
Category
110 - New Single Family
Plan F1-014-0204R
Type
18 Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
R-1
Class of Const:
8
Size IRR
Unfinished/Basement
1718 Sq.Ft.
~ Sq. Ft.
Rooms 0 Height 0 Ft.
Bedrooms 0 Stories 1
Baths 0
U Projection 1
Finished/Living
Canopies
0
Garage
~ Sq. Ft.
Signs
0
Foundation
8 Poured Concrete 0 Floating Slab
0 Concrete Block 0 Post
0 Pier
0 Treated Wood
0 Other
Occupancy Permit
Required
Flood Plain No
Height Permit Not Required
Park Dedication
Required
# Dwelling Units
# Structures
NSFR/ 1 story home with a 3 car attached garage, 24' wide concrete driveway measured at the property line, and a 12'x14' rear concrete patio.
Use/Nature
of Work
HVAC Contractor
MCM AIR INC
Plumbing Contractor
WELLNITZ PLUMBING
Electric Contractor
SECKAR ELECTRIC
Fees: Valuation
$127,000.00
Plan Approval
$75.00 Permit Fee Paid
$490.00 Park Dedication
$200.00
Issued By:
Date 03/04/2004
Final/O.P. 00/00/0000
U Permit Voided 1
Parcelld # 1281540000
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
PO BOX 825
Agent/Owner
OSHKOSH
WI 54903 - 0825 Telephone Number
(920) 231-5025
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.
e
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number
7112
Name HAROLD SALZER JR
Address
2485 SHORE PRESERVE DR
Create Date 02/26/2004
Lot
54
Block
Ward
Subdivision North Shore Preserve
Zone
Street Number
Lot Dimensions
I I Sidewalk Existing
Building Grade Elevation Stakes Set At Site
03/01/2004
Set By
DW.G. BK - 586, P - 25
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 0106762
P.O. Box 2509 APPLICATION Parcel No.
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
PERMIT REQUESTED 0 Constr D HVAC D Elec D Plbg 0 Erosion D Other:
Owner's Name Mailing Address Telephone No.
HAROLD SALZER JR PO BOX 825 Oshkosh WI 54903 - 0000 231-4994
Contractor: ~ ConU ElecU HVAC U Plbg Lic/Cert # Mailing Address Telephone No.
SALZER SIDING 7351 PO BOX 825 OSHKOSH WI 54903 - 825 (920) 231-5025
Contractor: U Con ~ Elec U HVACU Plbg Lic/Cert # Mailing Address Telephone No.
SECKAR ELECTRIC 689404 5920 COURTNEY PLUMMER RD WINNECONNI WI 54986 - 0 (920) 582-4909
Contractor: U Con U Elec ~ HVAC D Plbg Lic/Cert # Mailing Address Telephone No.
MCM AIR INC 4264 6122 COUNTY ROAD M WINNECONNIW 54986 - 9780 920-582-4402
Contractor: U Con D Elec D HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No.
WELLNITZ PLUMBING 223819 4810 AMBERWOOD LN APPLETON WI 54915 -0 (0)231-7390
PROJECT LOCATION Lot Area Sa. ft. 1/4, 1/4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
2485 SHORE PRESERVE DR North Shore Preserve 54
Zoning District(s) I Zoning Permit No. Front I Rear Left Right
Setbacks ft. ft. ft. ft.
1. PROJECT 3. OCCUPANCY 6. ELECTRICAL 9. HVAC EQUIPMENT 12. ENERGY SOURCE
~ New D Repair 0 Single Family Entrance Panel ~ Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola
D Alteration D Two Family D Radiant Baseboard or Panel Gas *
D Raze Size: 200 amp
D Addition D Garage Service: D Heat Pump Space Htg D D D D D D
D Move D Other (print): D Overhead D Boiler Water Htg 0 D D D D D
D Other: 0 Underground 0 Central Air Conditioning * U Dwelling unit will have 3 kilowatt or
4. CONST. TYPE 7. FOUNDATION - 0 Other = . more installed electric space heating equip.
2. AREA INVOLVED 0 Site Constructed U Concrete 10. PLUMBING Infiltration control option is: D Full sealing
Unfinished D Manufactured D Masonry Sewer of joints. D Blower door test. D Exterior
Basement 1718 Sq. ft. 5. STORIES D Treated Wood 0 Municipal air infiltration barrier.
Living Area 1718 Sq. ft. 0 1-Story D Other D Septic 13. HEAT LOSS (Calculated}
8. USE
D 2-Story Permit No. Envelope 33350 BTU/HR
Garage 973 Sq. ft. D Other 0 Seasonal 11. WATER Infiltration 21004 BTU/HR
D Permanent 0 Municipal Utility 14. EST. BUILDING COST
D Plus Basement D Other D Private On-Site Well $137,000.00
The applicant aç¡rees 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
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
see standard conditions of approval
------~~~~~~~~~~!~~-~--- D Town D Village 0 City D County U State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 a - 2 6 6
FEES: PERMIT(S) WIS. UNIFORM PERMIT PERMIT ISSUED BY:
ISSUED SEAL NO.
Plan Review $75.00 EI Co"",",,;O"
HVAC Name Nicole Krahn
Inspection Electrical
Wis. Permit Seal $30.00 D Plumbing Date 2/27/04
Other 0 Erosion
Total $105.00 D 306877 Cert. No. 248101
SBD-5823 (R. 07/92)
e
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
2485 SHORE PRESERVE DR
Date 03/04/2004
Name
HAROLD SALZER JR
Address
PO BOX 825
Oshkosh
WI
54903
Subdivision North Shore Preserve
Lot 54
Building Permit Number
0106762
Number of Dwelling Units
Number of Structures
Fee Required
$200.00
Fee Paid
Owner's Signature
Date
Inspector's Signature
Date
I
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EROSION CONIRa. BY USE OF SI.T FENaNG, GRAVEL ACCESS
ROÞlNIAY OR OIlIER APPRD\IED IIEIHOO BY LOCAl. AUIHORIIY.
CONSULT LLH.R. 21.125. LLH.R 21.13. AND LOCAl. IIUI.OING
INSPECIOR FOR NIt CIUESI1ONS.
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S1tIQ(pIS) SOIL !lUST BE SEEDED WITII 1M GRASS OR COVERED
WITII A TNII'. EROSION CONII\OL SIIALI. BE PLAŒD AT DOWN SLOPE
OF 11£ STOCKPU.
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Ie: '"830' I ContraCtor HARRY SALZER
Date 2-18-04
SHORE PRESERVE DRIVE LOT 54