HomeMy WebLinkAbout0118895-Building
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OSHKOSH
ON THE WATER
Job Address 4005 HEMLOCK CT
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
No
118895
Owner PORTSIDE PROPERTIES
Create Date
04/03/2006
Designer
Contractor
PORTSIDE BUILDERS, INC.
Category
110- New Single Family
Plan 015-0406
Type
. Building
R1 PD
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
ClassofConst: 8
Size irreg
Unfinished/Basement
~Sq.Ft.
~Sq.Ft.
Rooms
4
Height
0 Ft.
0 Projection i
Finished/Living
Bedrooms
2
Stories 1
Canopies
Garage
~Sq.Ft.
Baths
Signs
Foundation
. Poured Concrete 0 Floating Slab
0 Concrete Block 0 Post
0 Pier
0 Treated Wood
0 Other
Occupancy Permit Required
Flood Plain
Height Permit Not Required
Park Dedication
Required
# Dwelling Units ----1
# Structures
Use/Nature New SFR with Attached Garage, includes 12x13 patio.
ofWork
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$156,076.00 Plan Approval
$75.00 Permit Fee Paid
$580.00 Park Dedication
$200.00
Issued By:
Date 04/10/2006
Final/O.P. 00/00/0000
0 Permit Voided I
Parcelld # 1282001412
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 ~~ ~
Agent/Owner
Date /CJ4hècx:..
Address 980 AMERICAN DR
NEENAH
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.
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OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number
7339
Name GF HOLDINGS INC
Address 4005 HEMLOCK CT
Create Date 04/07/2006
Lot
Block
Ward
Subdivision
Zone
Street Number
U Sidewalk Existing
Lot Dimensions
Building Grade Elevation Stakes Set At Site
04/07/2006
Set By
NO GRADE REQ'D - EP
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. !:iÚ~
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Wisconsin Department of Industry,
Labor and Human Relations
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.
0118895
Parcel No.
~ Constr
Plbg LiclCert #
6461
Plbg LiclCert#
0 HVAC 0 Elec
Mailing Address
980 AMERICAN DR
Mailing Address
980 AMERICAN DR
Mailing Address
0 Plbg
~ Erosion
0 Other:
NEENAH
Telephone No.
WI 54956 - 0000
Telephone No.
920-727-4874
Telephone No.
NEENAH
WI 54956 - 0
- 0
Plbg LiclCert # Mailing Address
Telephone No.
Plbg LiclCert # Mailing Address
-0
Telephone No.
Lot Area
S . ft.
1/4,
1/4,Section
Lot No.
,T
-0
N,R E(or)W
Block No.
Building Address
4005 HEMLOCK CT
Zoning District(s)
Subdivision Name
Rear
Left
Right
./ New
0 Alteration
0 Addition
0 Repair
0 Raze
0 Move
./ Forced Air Fumace
0 Radiant Baseboard or Panel
0 Heat Pump
0 Boiler
Central Air Conditioning
Other
Nat. loP. Oil Elec. Solid Sola
Ga
Space Htg ~ 0 0 0 0 0
WaterHtg ~ 0 0 0 0 0
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: ~ Full sealing
of joints. 0 Blower door test. 0 Exterior
air infiltration barrier.
Fuel
0 Other:
Unfinished
Basement ~
Living Area 1711
Garage 484
26456 BTU/HR
18881 BTU/HR
$169,000.00
APPLICANT'S SIGNATURE
APPROVAL CONDITIONS This permit is ssued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
Submit Truss Plans prior to installation, maintain erosion control until the entire development is complete and lawn is fully
established. All future condo submits shall include site plans showing the location of adjacent structures.
0 Village ~ City 0 County 0 State of:
City Of Oshkosh
Inspection
Wis. Permit Seal
Other
$30.00
Construction
0 HVAC
0 Electrical
0 Plumbing
0 Erosion
0
Date
4/7/2006
Total
SBD-5823 (R. 07/92)
$105.00
352252
Cert. No.
70264
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OSHKOSH
ON THE WATER
Job Address
PARKLAND DEDICATION FEE COLLECTION RECORD
4005 HEMLOCK CT
Date 04/10/2006
Name
PORTSIDE PROPERTIES
Address
980 AMERICAN DR
NEENAH
WI
54956
Subdivision
Lot
Building Permit Number
Number of Dwelling Units
0118895
Number of Structures
Fee Required
$200.00
Fee Paid
Owner's Signature
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Date /M.PRé{;
Date
Inspector's Signature
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