HomeMy WebLinkAbout0099444-BuildingOSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
2315 SHORE PRESERVE DR
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner CUSTOM BUILT HOMES LLC
Contractor CUSTOM BUILT HOMES
110 - New Single Family
· Building O Sign
No 0099444
Create Date 01/08/2003
Plan E1-002-0103R
O Canopy O Fence O Raze
Zoning R-1PD
Unfinished/Basement 2004 Sq. Ft.
Finished/Living 2004 Sq. Ft.
Garage 803 Sq. Ft.
Foundation · Poured Concrete (~ Floating Slab
(~) Concrete Block (~ Post
Occupancy Permit Required
Park Dedication
Class of Const: 8 Size IRRG
Rooms 6 Height 21 Ft. [] Projection
Bedrooms 3 Stories 1 Canopies
Baths 3 Signs
O Pier (~) Other
Height Permit Not Required
.Required 1 # Structures 1
NSFR/ New single family 1 story with 3 car garage, 14' x 36' L shaped patio. Driveway will be 24' wide maximum at the rioi-~t property
(~ Treated Wood
Flood Plain No
# Dwelling Units
Use/Nature
of Work line.
HVAC Contractor BREWER HEATING
Electric Contractor CUMINGS ELECTRIC
Fees: Valuation $130,000.00 Plan Approval
Issued By:
Plumbing Contractor COMPLETE PLUMBING INC
$75.00 Permit Fee Paid
[] Permit Voided
$470.00 Park Dedication $100.00
Date 01/14/2003 FinallO.P. 00/00/0000
In the performa~o/~h~s work I agree to perform all work pursuant to rules governing the described construction.
Signature / t,q~_¢ ~,,~.~ Date
AgentJOwner
Address 2274 WILLOW WAY DR OSHKOSH WI 54904 - 7771 Telephone Number
/,-/'/--~3
426-1556/M203-5897
OSHKOSH
ON THE WATER
Name CUSTOM BUILT HOMES LLC
GRADE STAKE FORM
Address 2315 SHORE PRESERVE DR
Lot 28 Block
Subdivision North Shore Preserve Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 01/09/2003 Set By
Grade Stake Number 6876
Create Date 01/08/2003
Ward
D.W.G. BK- 586, P- 77
L~ 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. ~ ~.~.~ /'--/W/-o ~
Wisconsin Department of Industry,
Labor and Human Relations
Safety and Buildings Division
;P.O. Box 2509
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
Owner's Name
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
JApplication No.
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Mailing Address
2274 WILLOW WAY DR Oshkosh WI 54904 - 0000
Mailing Address
2274 WILLOW WAY DR OSHKOSH WI 54904 - 7771
Telephone No.
426-1556/M203~1
Telephone No.
231-5946
Telephone No.
(920)748-6494
Telephone No.
920-720-5390
E(or)W
CUSTOM BUILT HOMES LLC
Con[] Elec'~ HVAC ~ Plbg
CUSTOM BUILT HOMES
Contractor: L_~ Con ~J Elec [_.J HVACI__~ Plbg
CUMINGS ELECTRIC
Contractor: ~_~ Con ~ Elec~.~ HVAC [] Plbc.
~,EWER HEATING
~_~ Con [] Elec~_J HVAC~_.~ PIbg
IPLETE PLUMBING INC
Lot Area
Lic/Cert #
~243890
Lic/Cert #
170792
Lic/Cert #
4220
Mailing Address
PO BOX 749 1414 COUNTY RD JJ NEENAH
Building AddresS
2315 SHORE PRESERVE DR
Zoning District(s) i Permit No.
WI 54957 - 749
Mailing Address
N8804 N DOUGLAS STREET RIPON WI 54971 -0
Mailing Address
1197 RACINE ST
Lic/Cert #
224759 MENASHA WI 54952 - 0
Sq. ft.I Subdivision Name 1/4, 1/4,Section ,T N,R
Lot No. Block No.
I North Shore Preserve 28
Front Rear Left Right
New [] Repair Single Family
Two Family
[] Alteration [] Raze
Garage
[] Addition
[] Move [] Other (print):
Other:
[] Site Constructed
Unfinished [] Manufactured
Basement 2004 Sq. ft.
Living Area 2004 Sq. ff. 1-Story
Garage 803 Sq. ff. [] 2-Story
[] Other
Entrance Panel Furnace
Size: 200 amr [] Radiant Baseboard or Panel
[] Heat Pump
Service:
[] Overhead [] Boiler
[] Underground [] Central Air Conditioning
Concrete
Masonry
Treated Wood
Other
Sewer
[] Municipal
[] Septic
Permit No.
[] Seasonal
[] Permanent [] Municipal Utility
Fuel
Space Htg
Water Htg
~ unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: [] Full sealing
of joints. [] Blower door test: [] Extedor
~ir infiltration barder.
Envelope 32355 BTU/HR
Infiltration 24529 BTU/HR
[] Plus Basement [] Other [] Private On-SiteWell $160,000.00
The applicant agrees to comply with a ~ cable codes statues and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, exl~'re~e~.d,, on ~rne_~nt 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
~,OVAL CONDITIONS revocation of this permit or other penalty
SEE "STANDARD CONDITIONS OF APPROVAL" SHEET
Town [] Village [] City [] County State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 - 2 6 6
Plan Review $75.00 Construction
HVAC Name JOHN ZAP, ATE
Inspection Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 01/08/2003
Other [] Erosion
Total $105.00 [] 275795 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address
Name
Address
Subdivision
Building Permit Number
Number of Dwelling Units
Fee Required
Owner's Signature
Inspector's Signature
PARKLAND DEDICATION FEE COLLECTION RECORD
2315 SHORE PRESERVE DR
CUSTOM BUILT HOMES LLC
2274 WILLOW WAY DR
North Shore Preserve
0099444
1
$100.00
Date 01/14/2003
Oshkosh WI 54904
Lot 28
Number of Structures
Fee Paid
Date
Date
90.4.3'
74'-0'/
STOCK
PILE
PATIO
HOUSE
PLAN ffRAN-2004-- 1 O3
8.83'
12.5' . 27.16'
GARAGE
12
90.0'
DRIVEWA'~ AND
GRAVEL ACCESS DRIVE
24-' MAX O LOT LINE
PRESERVE DRIVE
OUSYOM BUILT HOMES LLC.
2274 WILLOW WAY DRNE
O~d4KOSH, WI 54904
HOMES BY MARK FASEL
- ~ (==o) ~a-.~;=
f~ (~mo) 4.~e-.emom