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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