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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'