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
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