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HomeMy WebLinkAbout0099733 BOSHKOSH ON THE WATER .lob.Address 2371 2375 PATRIOT LN Designer Category 140 - Interior Remodeling CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner Contractor PORTSIDE PROPERTIES INC No 0099733 Create Date 02/07/2003 Plan Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze Zoning Class of Const: Size Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. ~J Projection Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies Garage 0 Sq. Ft. Baths 0 Signs Foundation O Poured Concrete (~ Floating Slab (~ Pier (~ Other (~ Concrete Block (~ Post (~ Treated Wood Occupancy Permit Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use/Nature of Work Duplex- 2375 side only/Finish basement to include rec. room, full bathroom, bedroom / office, wardrobe closet and to storage areas. Contractor ~vas given a combustion air worksheet for any naturally vented appliances in confined locations and any additional combustion air shall be supplied to the room per the worksheet. Firestopping shall be installed per code. An exhaust fan will be required in the bathroom. HVAC Contractor MCM AIR INC Plumbing Contractor PLUFF PLUMBING Electric Contractor SCHAFER ELECTRIC INC Fees: Valuation $23,098.00 Plan Approval $0.00 Permit Fee Paid $107.00 Park Dedication $0.00 Issued By: Date 02/07/2003 Final/O.P. 00/00/0000 Permit Voided In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 923 S MAIN ST OSHKOSH WI 54902 - 0000 Telephone Number 426-1544 OSHKOSH ON THE WATER Job Address Designer Category Type 2371 2375 PATRIOT LN 140 - Intedor Remodeling CITY OF OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD PORTSIDE PROPERTIES INC Owner Contractor Building (~) Sign (~ Canopy (~ Fence (~ Raze No 0099733 Create Date 02/07/2003 Plan Zoning Unfinished/Basement 0 Sq. Ft. Finished/Living 0 Sq. Ft. Garage 0 Sq. Ft. Foundation O Poured Concrete (~ Floating Slab (~) Concrete Block (~ Post Occupancy Permit Park Dedication Class of Const: Rooms 0 Height 0 Ft. Bedrooms 0 Stories Baths 0 (~) Pier (~) Other (~ Treated Wood Flood Plain Height Permit # Dwelling Units 0 # Structures Size [] Projection Canopies Signs 0 Use/Nature of Work Duplex- 2375 side only/Finish basement to include rec. room, full bathroom, bedroom / office, wardrobe closet and to storage areas. Contractor was given a combustion air worksheet for any naturally vented appliances in confined locations and any additio hal combustion air shall be supplied to the room per the worksheet. Firestopping shall be installed per code. An exhaust fan will be required in the bathroom. HVAC Contractor MCM AIR INC Plumbing Contractor PLUFF PLUMBING Electric Contractor SCHAFER ELECTRIC INC Fees: Valuation $23,098.00 Plan Approval $0.00 Permit Fee Paid $107.00 Park Dedication $0.00 Issued By: ~ Date 02/07/2003 FinallO.P. 00/00/0000 / [] Permit Voided J In the performance of this wprk I agr~ to perm all work pursuant to rules governing the described construction, Sig nat ure ~:;~~~'~L'~~wner/ ) Address 923 ~z~AIN ST OSHKOSH WI 54902 - 0000 Telephone Number 426-1544 W,sconsin D,epartment of Industry, WISCONSINUN IFORM BUILDING Application No. La,bet and Human Relations Sa[ety and Buildings Division PERM IT APPLICATION P.O. Box 7969 (See instructions on back of white ply) Parcel No. Madison, WI 53707 The Information you provide may be used by other government .agency ,W~sconsln Statutes 1,O1.63,101.73 programs IPnvacy ,Law, s. 15.04 (1) (m)]. O~,ner's Name J Mailing Address - Telephone No. Contra~or's Name: ~ Con'~ Elec ~ HVAC ~ Plbg LidCen f ~ailing Address Telephone No. Contra~or's Name: ~ Con ~ Elec ~ HVAC~Plbg _idCe~ ~ Mailing Address Telephone No. ~9~tr~o~s ~me:~on ~ ~le~ ~ HVA~ ~ Plbg .i~e~ ~ M~iling Address Telephone ~o. ?':"'"'? ?':~"?'"'"'"?':M""?:'""?:::'"'"':':;w':?' ::~'"M:~S~S?~ LOt A~e a ?:~:~;~:x:~:~¢:}:;::~:::~:~:~:}~::F~M:~:::::~:~:~:*::...::~:~:~f~:~::::~s~:~:}~::~: ~ ~J ~ ~: ~ ~i ~ ~:~:~:: :~: ::'~}?~[~ Sq . ~ . 1/4, 1/4, Section ,1 N, R E (or) W Building Address.~ ~)~ ~ Su~ivision Name Lot No. Block No. Zoning Distri~(s) [ Zoning Permit No. FrontI.. r L~ Right , Setbacks ~. ~.: ~. :~' :~[~ ' '~ '~: ' .:~;~8~8]:~:~:~:::~:~;~:~:~:(¢~ ~:' ':::~8' %-'.-. ':" ':' ':': ' '"'..::~ ::~:::E~::~ ~ New ~ Repair ~ Single Family Entrance Panel ~Forced Air Furnace Nat L. P Oil Elec Solid Solar: ~Alteration ~ Raze ~ Two Family S~ze: ~ amp ~Radiant Baseboard or Panel Fuel Gas ~Addition B Move ~ Garage Service: ~ Heat Pump ~ Other (print): ~Underground ~Boiler SpaceHtg ~ ~ ~ ~ ~Overhead ~ Central Air Conditioning Water Htg ~ ~ ~ ~ ~ Other ~~~ ~~:! ~ Other * ~ Dwelling unit will have 3 kilowaE or more installed electric space heating equip. Infiltration control option is: ~ F~II ~aling i~:~i~i~i~E~i~i~i~i;~ii:~i~i~i~;~i~i~:~,,, B Manufa~ured BB TreatedMas°nrYWood Sewer air°f jointS.infiltrationB BIowerbarrier.door test. U E~erior Unfinished Basement/~ Sq. ft. ~"'"~:"'"'"'~':"'":'"'"""~"~'~:~:~ ~ Municipal ~1- Story ~~ ~ Septic ............. : .................................................................................................................. ......................................... Permit No. Envelope · BTU~R Garage ~ Sq. ~. ~ Other ~ Permanent ....................... U Other ~ Municipal Utility - ~;j'~]~i'~:i'~[[~ ~ Plus Basement 0 Private On-Site Well ~ ~lO agree to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understand that the mssuance of the permit creates no legal liability, express or implied, on the Depa~ment or municipality; and ce~ify that all the above information is accurate. If I am an owner applying for an erosion control or constructmon permit, I have read the cautionary statement regarding contra~or financial responsibility on the rever~ smde of the pink ply. ' ~ ~~ - APPLICANT'S SIGNATURE~~ DATE SIGNED ~s permit ~s ~ssued pursuant to the following conditions A~PROVAL. CON DITIONS ' ' ....... . Foi~,e to comply ~ay,e~¢t i~ ~pe~io, o~ revocation of this permit or other penalty. ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::~i~ ~:~::~:: ::::~~::F:~}~f:~:~?:~ .................... ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ............ ~?:~: ?.~¢ ~ ~: ~ ~::~ ~:.~:¢~: ~::~:¢~}~::~:;}~}5~}~ ~::~::~ ~ .......................................................................................................................... . ........................... ~lan Review $ ~ ~on~tru~on Inspection $ ~ HVAC Name Wis. Permit Seal $ ~ Electrical Other $ ~ Plumbing Date ~ Erosion Total $ ~ Ce~. No. SBD-$823 (R. 07/95) WHITE -.Issuing JurisdlCtmon YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent