HomeMy WebLinkAbout0109072-BuildingOSHKOSH
ON THE WATER
.lob Address 4585 SHAMBEAU DR
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner JAY J/JENNIFER R SCHRAUFNAGEL
Contractor K D GEHRT CONSTRUCTION LLC
Category 110 - New Single Family
No 109072
Create Date 08/09/2004
Plan F1-058-0604R
Type I(~ Building (~ Sign (~ Canopy (~ Fence ~ Raze
Zoning R-1 Class of Const: 8 Size Irrg
Unfinished/Basement 1650 Sq. Ft. Rooms 6 Height 19 Ft. ~J Projection
Finished/Living 1850 Sq. Ft. Bedrooms 3 Stories 1 Canopies
Garage 925 Sq. Ft. Baths 3 Signs
Foundation O 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 1 # Structures 1
Use/Nature NSFR/ New single family, 1 story, 3 car attached garage. NO DECK OR PATIO. Driveway shall not exceed 24' wide at the front property line.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
PAUL VAN ZEELAND HTG INC
UNKNOWN????
Plumbing Contractor CJ PLUMBING
$130,000.00 Plan Approval $75.00 Permit Fee Paid
Permit Voided
$499.00 Park Dedication $200.00
Date 07/01/2004 Final/O.P. 00/00/0000
Parcel Id # 1560100400
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 983 DEERFIELD CT MENASHA WI 54952 - 0000 Telephone Number 920-725-2774
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 JAY J/JENNIFER SCHRAUFNAGEL
GRADE STAKE FORM
Address 4585 SHAMBEAU DR
Lot 4 Block
Subdivision Island View Estates Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 06/15/2004 Set By
D.W.G. BK-598, P-17
Grade Stake Number 7167
Create Date 06/14/2004
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 0109072
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.
JAY J/JENNIFER R SCHRAUFNAGI: 212 OAK ST NEENAH WI 54956 - 0000
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
K D GEHRT CONSTRUCTION LLC 5791 983 DEERFIELD CT MENASHA WI 54952 - 0 920-725-2774
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
UNKNOWN???? Oshkosh WI 54901 - 0
Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
PAUL VAN ZEELAND HTG INC 3790 MOASIS DRIVE P.O BOX 248 LITTLE CHUTfW 54140 - 248 1-800-236-7373
Contractor: ~J Con [] Elec [] HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
CJ PLUMBING 230249 117 DIVISION ST NEENAH WI 54956 -9569 751-8992
I Lot Area Sq. ft. 1/4, 1/4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
4585 SHAMBEAU DR Island View Estates 4
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 1650 Sq. ft. · Treated Wood [] Municipal air infiltration barrier.
Living Area 1650 Sq. ft. [] 1-Story · Other
Garage 925 Sq. ft. [] 2-Story ~ [] Septic
Permit No. Envelope 27922 BTU/HR
[] Other [] Seasonal Infiltration 21236 BTU/HR
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $163,000.00
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 CONDITRIONS OF APPROVAL" SHEET
l~Ir-,l~ [] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location:
~i~Gi~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 6/14/04
Other [] Erosion
Total $105.00 · 306861 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address
Name
Address 212 OAK ST
Subdivision Island View Estates
Building Permit Number
Number of Dwelling Units
Fee Required
PARKLAND DEDICATION FEE COLLECTION RECORD
4585 SHAMBEAU DR
JAY J/JENNIFER R SCHRAUFNAGEL
Date 07/01/2004
NEENAH WI 54956
Lot 4
0109072
1 Number of Structures
$200.00 Fee Paid
Owner's Signature
Inspector's Signature
Date
Date
130.(~0'
DISCLAIMER
Lot 17
Island View Estates
4585 Shambeau Dr.
1015 Marway Ct.
4555 Cedar View Dr.
N
05-26-2004
Scale: 1" = 30'