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.
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?:~:~;~: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