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Home My WebLink About0113165-Building e OSHKOSH ON THE WATER Job Address 2371 SHORE PRESERVE DR CITY OF OSHKOSH No 113165 BUILDING PERMIT - APPLICATION AND RECORD Owner JAKOB & KIMBERLY IVERSON Create Date 03/18/2005 Designer Contractor EXECUTIVE HOMES AND DEVELOPMENT Plan G1-013-0Ð I Q Fence 0 Raze Category 110-NewSingleFamily Type . Building R-1PD 0 Sign 0 Canopy Zoning Class of Const: VB Size irrg Unfinished/Basement ~Sq.Ft. 2766 Sq. Ft. 'Rooms Height 31 Ft. 0 Projection I Canopies 0 Finished/Living Bedrooms 4 Stories 2 Garage ~Sq.Ft. Baths Signs 0 Foundation . Poured Concrete 0 Floating Slab 0 Concrete Block 0 Post 0 Pier 0 Treated Wood 0 Other Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units ~ # Structures ::;;:"';:-" I'. - ,"'" 'm;'. __00 ~-, ,- ~~, ,,~ HVAC Contractor UNKNOWN??? Plumbing Contractor UNKNOWN Electric Contractor UNKNOWN???? Fees: Valuation $238,100.00 Plan Approval $75.00 Permit Fee Paid $901.00 Park Dedication $200.00 Issued By: Date 03/24/2005 Final/O.P. 10/17/2005 0 Permit Voided I Pareelld # 1281420000 In the performance of this work I a9ree to perform all work pursuant to rules governing the described construction. Whiie the City of Oshkosh has no authority to enforce easement restrictions of which It is not a pany, if you perform the work described In this permit application within an easement, the City stron91y urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Address N3798 POHLMAN RD Agent/Owner HORTONVILLE WI 54944 - 0000 Telephone Number 991-9200 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. e OSHKOSH ON THE WATER GRADE STAKE FORM Grade Stake Number 7254 Name NORTHSHORE REAL ESTATE DEVELOF Address 2371 SHORE PRESERVE DR Create Date 03/23/2005 Lot 42 Block Ward Subdivision Northshore Preserve Zone Street Number Lot Dimensions IRRG I I Sidewalk Existing Building Grade Elevation Stakes Set At Site 03/23/2005 Set By 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 0113165 P.O. Box 2509 APPLICATION Parcel No. Madison, WI 53701-2509 Wisconsin Statues 101.63, 101.73 PERMIT REQUESTED 0 Constr D HVAC D Elec D Plbg 0 Erosion D Other: Owner's Name Mailing Address Telephone No. JAKOB & KIMBERLY IVERSON 1155 CHRISTIAN DR Oshkosh WI 54901 - 0000 Contractor: ~ ConU ElecU HVAC U Plbg Lic/Cert # Mailing Address Telephone No. EXECUTIVE HOMES AND DEVELOPMENT 689979 N3798 POHLMAN RD HORTONVILLE WI 54944 - 0 991-9200 Contractor: U Con ~ Elec U HVACU Plbg Lic/Cert # Mailing Address Telephone No. UNKNOWN???? Oshkosh WI 54901 - 0 Contractor: U Con U Elec ~ HVAC D Plbg Lic/Cert # Mailing Address Telephone No. UNKNOWN??? Oshkosh W 54901 -0 Contractor: U Con D Elec D HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. UNKNOWN OSHKOSH WI 54901 -0 PROJECT LOCATION Lot Area Sa. ft. 1/4, 1/4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 2371 SHORE PRESERVE DR Northshore Preserve 42 Zoning District(s) I Zoning Permit No. Front I Rear Left Right ~ ft. ft. ft. ft. 1. PROJECT 3. OCCUPANCY 9. HVAC EQUIPMENT 12. ENERGY SOURCE ~ New D Repair 0 Single Family Entrance Panel ~ Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola D Alteration D Two Family D Radiant Baseboard or Panel Gas * D Raze Size: 200 amp D Addition D Garage Service: D Heat Pump Space Htg 0 D D D D D D Move D Other (print): D Overhead D Boiler Water Htg 0 D D D D D D Other: 0 Underground D Central Air Conditioning * U Dwelling unit will have 3 kilowatt or 4. CONST. TYPE 7. FOUNDATION - 0 Other - more installed electric space heating equip. 2. AREA INVOLVED 0 Site Constructed U Concrete 10. PLUMBING Infiltration control option is: D Full sealing Unfinished D Manufactured D Masonry Sewer of joints. D Blower door test. D Exterior Basement 1534 Sq.ft. 5. STORIES D Treated Wood 0 Municipal air infiltration barrier. Living Area 2766 Sq. ft. D 1-Story D Other D Septic 13. HEAT LOSS (Calculated) 8. USE 0 2-Story Permit No. Envelope 47286 BTU/HR Garage 836 Sq. ft. D Other D Seasonal 11. WATER Infiltration 27961 BTU/HR 0 Permanent 0 Municipal Utility 14. EST. BUILDING COST D Plus Basement D Other D Private On-Site Well $238,100.00 The applicant aç¡rees 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 APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty See Plan Review ~~S~~ND~CTION D Town D Village 0 City D County U State of: Municipality Number of Dwelling Location: City Of Oshkosh 7 a - 2 6 6 FEES: PERMIT(S) WIS. UNIFORM PERMIT PERMIT ISSUED BY: ISSUED SEAL NO. Plan Review $75.00 EI Co"",",,;O" HVAC Name Brian Noe Inspection Electrical Wis. Permit Seal $30.00 D Plumbing Date 3/23/05 Other 0 Erosion Total $105.00 D 326589 Cert. No. 70266 SBD-5823 (R. 07/92) e OSHKOSH ON THE WATER PARKLAND DEDICATION FEE COLLECTION RECORD Job Address 2371 SHORE PRESERVE DR Date 03/24/2005 Name JAKOB & KIMBERLY IVERSON Address 1155 CHRISTIAN DR Oshkosh WI 54901 Subdivision Northshore Preserve Lot 42 Building Permit Number 0113165 Number of Dwelling Units Number of Structures Fee Required $200.00 Fee Paid Owner's Signature Date Inspector's Signature Date 745.5 POND L ) 745.5 37 ~raì nag e.. ?Ia/'ì 74 20' EASEMENT LE .4' MIN. s:! 7 1 3:1 ~ ~ 20' EASEMENT ~ EO ok MULCH AT 11M OF' CONS'TRUCTIOH 375':1: TO APPROXIMATE SHORE OF lAI<E BUTTE DES MOATS 7~2 = (754,6) OR (754.28) == F I 754.0 I := f PLAN SUBMITTAL CHECKLIST For 1 and 2 Family Homes ** All drawings must be legible and drawn to scale and dimensioned to include: Please Note: Missing or incomplete information may delay Plan Approval and Permit Issuance. 1. Buildin!! permit application/information sheet ~r Use õce Use 2. Plot plan/Site plan indicatin!!: The location and size of: 0 Proposed dwelling including all exterior dimensions D All buildings including any existing structures D Accessory structures D Driveways, patios, decks, fences, and pools D Stonn drainage grades and drainage features - For sites/subdivisions subject to an adopted stonn drainage plan and grading. ~ 5!(] g] ~ D g] ~ ~ D 4. g] D ~ D ¡g¡ D ~ D ~ D ÆJ D fsJ D D D D D ~ D ~ D D D NOTE: All setbacks must be clearly labeled on the site plan. It is suggested site plans be drawn on City GIS site plans. 3- D D D D Erosion control plan indicatin!!: Location of erosion control measures for sediment control Location of gravel access drive Location of temporary soil storage piles Location of any other planned / required erosion control measures NOTE: A separate copy of the site plan with this additional infonnation maybe used for this erosion control plan. Floor plans indicatin!!: (two copies) The size and location of: Rooms Doors Room use (kitchen, dining, family, bedroom, etc.) Smoke detectors Windows Structural features- size, species and grade oflumber and other structural materials used for joists, beams, rafters, trusses, headers, studs, and columns. NOTE: Beam calculations are required for any beams with point loads on them. Exit passageways (hallways) and stairwells Plumbing fixtures (bathroom, kitchen, etc.)- lavatory, water closet, water heater, softener, etc. Chimney(s)- include also the type of construction (masonry or factory built) and rating, if metal. Heating equipment Attic and crawl space access Fire separation between dwelling and garage 5. 0 0 0 0 0 0 6. ~ 0 .~ 0 r5a 0 G3. 0 ~ 0 ~ 0 ~ 0 g¡ 0 ~ 0 ~ 0 7. m 0 ~ 0 ~ 0 8. ~ 0 t5! 0 g¡ 0 ~ 0 ~ 0 ~. 0 9- ~ 0 \\ ,>ù 'p",,¡-l w\U\.. Q.\J(!,\ \.bk Truss plans includilll!: W \ A truss layout drawing indicating how the trusses will be installed. A truss design plan for each truss with all information required by TPI. This information may be provided at the rough framing inspection. Connection details for all truss / framing connections Foundation plans indicatill!!: (two copies) The size and location of: Structural features- strength, thickness, and reinforcement (if any) of concrete for footings, foundations, floors and any other concrete work; height and thickness of concrete and/or masonry construction Footings Column pads - Calculate size of pad carrying the most load. Wall construction Beams All dimensions Plumbing fixtures Service panel Sump pit Furnace Elevation plans indicatin!!:: (two copies) Dwelling height Information on exterior appearance Indicate the location, size and configuration of doors, windows, roof, chimneys and exterior grade level Cross-sectional drawin!!: indicatin!!:: (two copies) Exterior finish grade level Footing and foundation wall sizes, drain tile system and type of materials (Must be sized to carry anticipated 10OOs- NOT just minimum code req.) Exterior wall construction identifying materials used (including insulation, vapor barrier, wall sheathing, stud spacing) Stair dimensions- riser heights, tread widths, headroom, handrail and guardrail heights Roof construction identifying type of material, size, and spans (including insulation, vapor barrier, roof sheathing, and rafter/truss spacing) Floor construction identifying type of material, size, and spans (including insulation) Heat loss calculations Accurate information, COITect square footage, and insulation values DATE: 3 16' 05 PROJECT ADDRESS: d- 311 5Jw I'-'- Pt-e9:rVe Dr, c ¡ ~ OfHKOfH ON '~E WAm City of Oshkosh Division offuspection Services 215 Church Avenue POBox 1130 Oshkosh WI 54903-1130 Office 920-236-5050 Fax 920-236-5084 PLAN REVIEW Project Address: 2371 Shore Preserve Dr Date Reviewed: March 23, 2005 Submitted By: Executive Homes Reviewed By: Brian Noe Plan Number: GI-013-0305 ~ Conditionally Approved Result of Plan Review: D Mailed D Withheld Pending Approval of Additional Information D Not-Approved, Plans Returned for Revisions D Faxed ~ Delivered with Permit Conditions Noted on Plan Review 1. 21.04 Effective 1/1/05 Guardrail opening size has been changed to a maximum of 4 inches. 2. 21.02 Complete truss plans and layout are required to be onsite at time of rough inspection 3. 21.09 Smoke detectors are required to be provided in each bedroom and adjacent to all sleeping areas. (multiple detectors required due to bedroom separation) 4. Comm 21.25(1)(b) Bracing. Exterior walls shall be braced at the comers. 1. Nominal 1 inch by 4 inch continuous diagonal members set into the face of the studs at an angle between 450 and 600; or 2. Four feet by 8 feet plywood sheathing panels not less than 'lis-inch thick for 16-inch stud spacing and not less than '/, inch thick for 24-inch stud spacing; or 3. Prefonned metal T-bracing not less than 22 gage (.0296 inches) thick and 1'/4 inch wide; or . 4. Other approved wind bracing materials. Note: Outside corners of garage's, and multiple corners on house do not appear to comply - Provide framing detail that will provide equivalent lateral bracing. - Please provide this information to our office prior to requesting a rough inspection. 5. No structure is pennitted within any Easement located on the property. The submittal described above has been reviewed Jor conJormance with the State oj Wisconsin Uniform Dwelling Code. The submittal has been CONDITIONALLY APPROVED. This is a limited review. Ultimately it is the applicant / owners responsibility to comply with all applicable codes. statues and ordinances. and the conditions oj this approval. Page 1 of2 ~ 6. Please note that truss plans and beam calculations have not beeu submitted - and there for no review ofload trausfer has been conducted. 7. Comm 21.25 (l)(a) Studs. Wood studs shall comply with the size and spacing requirements indicated in Table 21.25-A. Studs in the exterior walls shall be placed with the wide faces perpendicular to the plane of the wall. Tall walls in two story foyer area exceed maximum height allowed by table 21.25 -Provide details as to how these areas will beframed.- Please provide this information to our office prior to requesting a rough inspection. 8- 21.05 Safety glass is required in sidelights adjacent to door, and windows adjacent to tub/ showers 9. The drainage will be required to be completed in compliance with the approved grading and drainage plan- 10. Heat loss calculations are required to match the actual construction. 11. Garage spaces shall be separated from dwelling unit in accordance with Comm 21.08.- The door and frame assembly between the dwelling unit and an attached garage shall be listed an labeled by an independent testing agencv ( ie. UL, ErL, WH, ) as having a minimum fire-resistive rating of 20 minutes. ALL drywall joints are required to be taped / sealed unless the joints are fitted so that the gap is no more than 1/20th of an inch (a dimes thickness) and backed by solid wood or drywall with joints staggered. 12. All Penetrations in exterior walls must be sealed prior to the insulation inspection. This includes holes in the top and bottom plates, gaps around heating ducts, and holes in studs used for return air spaces. 13. The property owner and applicant is responsible for compliance with Comm 21.125 (Erosion Control). When installing access drives, a minimum of2"-3" diameter stone is required for a minimum 6 inch depth, 14'-20' wide, and 30' -50' in length- Erosion control measures are required to be maintained until the pennanent lawn has been established. 14. All stonn sewer inlets must be protected with approved erosion control devices. Tracking (sediment) must be removed from the street at the end of each work day. Repair of any siltation, or erosion damage to adjoining surfaces and drainage ways resulting from land development or disturbing activiti . 15. All site grading must be done i acc rdance with the approved drainage plan on file in the public works office -located n 3rd 'floor C' Hall. VaW, 3Þ~ 5 / The submittal described above has been reviewed for conformance with the State of Wisconsin Uniform Dwelling Code. The submittal has been CONDITIONALLY APPROVED. This is a limited review. Ultimately it is the applicant lowners responsibility to comply with all applicable codes, statues and ordinances. and the conditions of this approval. Dr!'!an Page 2 of2