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HomeMy WebLinkAbout0118897-Building ØJ OSHKOSH ON THE WATER Job Address 3875 EDGEWOOD RD CITY OF OSHKOSH No 118897 BUILDING PERMIT - APPLICATION AND RECORD Owner PORTSIDE PROPERTIES Create Date 04/03/2006 Designer Contractor PORTSIDE BUILDERS, INC. Category 110 - New Single Famil~ Plan 017-0306 Type . Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning Class of Const: 8 Size Unfinished/Basement ~Sq.Ft. ~ Sq. Ft. Rooms 6 Height 17 Ft. 0 Projection I Finished/Living Bedrooms 3 Stories 1 Canopies Garage ~Sq.Ft. Baths 2 Signs 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 ------.1 Use/Nature NSFRI New single family 1 story with 2 car attached garage and 14' x 15' patio, the driveway will be 20' wide. ofWork HVAC Contractor PALISADES SHEET METAL ELECTRICAL CONTRACTING SPECIALISTS Plumbing Contractor WATTERS PLUMBING Electric Contractor Fees: Valuation $153,813.00 Plan Approval $75.00 Penmlt Fee Paid $571.00 Park Dedication $200.00 Issued By: Date 04/10/2006 Final/D.P. 00/00/0000 0 Penmit Voided I Parcelld # 1282000200 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which It is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature ~~ ~ z::;- AgenVOwner Address 980 AMERICAN DR NEENAH Date /OA?7èO6 WI 54956 - 0000 Telephone Number 920-727-4874 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. ~ OSHKOSH ON THE WATER GRADE STAKE FORM Grade Stake Number 7337 Name GF HOLDiNGS INC Address 3875 EDGEWOOD RD Create Date 04/04/2006 Lot Block Ward Subdivision EDGEWOOD VILLAGE Zone Street Number Lot Dimensions I I Sidewalk Existing Building Grade Elevation Stakes Set At Site 04/06/2006 Set By MB BK- 608, P-49 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, Labor and Human Reiations Safety and Buildings Division P.O. Box 2509 Madison, WI 53701-2509 Wisconsin Statues 101.63, 101.73 WISCONSIN UNIFORM BUILDING PERMIT APPLICATION Application No. 0118897 Parcel No. ~ Constr 0 HVAC 0 Elec 0 Plbg ~ Erosion 0 Other: Mailing Address Telephone No. 980 AMERICAN DR NEENAH WI 54956 - 0000 Mailing Address Telephone No. 980 AMERICAN DR NEENAH WI 54956 - 0 920-727-4874 Mailing Address Telephone No. PO BOX 42 BERLIN WI 54923 - 0 920-428-7000 Mailing Address Telephone No. 1475 RACINE ROAD MENASHA WI 54952 -0 (920) 729-1282 Mailing Address Telephone No. PO BOX 118 MENASHA WI 54952 -118 920-733-8125 S . ft. 1/4, 1/4,Section ,T N,R E(or)W Subdivision Name Lot No. Block No. EDGEWOOD VILLAGE 2 Front Rear Left Ri9ht Lot Area Building Address 3875 EDGEWOOD RD Zonin9 District(s) ./ New 0 Alteration 0 Addition 0 Repair 0 Raze 0 Move ./ Forced Air Furnace 0 Radiant Baseboard or Panel 0 Heat Pump 0 Boiler Central Air Conditioning Other Nat. loP. Oil Elec. Solid Sola Ga SpaceHtg~ 0 D D D D WaterHtg ~ 0 D D D D Dwelling unit will have 3 kilowatt or more installed electric space heating equip. Infiltration controi option Is: D Full sealing of joints. D Blower door test. D Exterior air infiltration barrier. Fuel D Other: Unfinished Basement ~ Sq. ft. Living Area 1711 Sq. ft. Garage 506 Sq. ft. 27638 BTUIHR 18937 BTUIHR D Seasonai ~ Penmanent ~ Municipal Utility D Plus Basement D Other D Private On-Site Well $172,500.00 The applicant agrees 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 D rtment or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE DATE SIGNED /vAPæõ6 This pe is ued pursuant to the following conditions. Failure to comply may result in suspension or APPROVAL CONDITIONS revocation of this permit or other penalty SEE "STANDARD CONDITIONS OF APPROVAL" SHEET D Village ~ City D County D State of: City Of Oshkosh Inspection Wis. Permit Sea] Other $30.00 ./ Construction D HVAC D Electrical D Plumbing 0 Erosion D Date 4/4/2006 Total SBD-5823 (R. 07192) $105.00 352254 Cert. No. 70330 ØJ OSHKOSH ON THE WATER PARKLAND DEDICATION FEE COLLECTION RECORD Job Address 3875 EDGEWOOD RD PORTSIDE PROPERTIES Date 04/1012006 Name Address 980 AMERICAN DR NEENAH '!'!L. 54956 Subdivision EDGEWOOD VILLAGE Lot 2 Building Permit Number 0118897 Number of Dwelling Units Number of Structures Fee Required $200.00 Fee Paid Owner's Signature ~':t ~~ Date /¿7.dvV¡è4) Inspector's Signature Date ~ ~ ...., r-- , 6! :::. 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