HomeMy WebLinkAbout0118896-Building
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OSHKOSH
ON THE WATER
Job Address 4015 HEMLOCK CT
CITY OF OSHKOSH
No
118896
BUILDING PERMIT. APPLICATION AND RECORD
Owner PORTSIDE PROPERTIES
Create Date
04/03/2006
Designer
Contractor
PORTSIDE BUILDERS, INC.
Category
110 - New Single Family
Plan 016-0306
Type
. Building
R1 PD
a Sign
a Canopy a Fence a Raze
Class of Canst:
Rooms 0 Height ------2 FI.
Bedrooms 0 Stories 1
Baths ------2
Size Irreg
Zoning
Unfinished/Basement
------2 Sq. FI.
------2 Sq. Ft.
0 Projection I
Garage
------2 Sq. FI.
Canopies
Signs
0
Finished/Living
Foundation
. Poured Concrete a Floating Slab
a Concrete Block a Post
a Pier
a Treated Wood
a Other
Occupancy Permit Required
Flood Plain No
Height Permit Not Required
Park Dedication
Required
# Dwelling Units 1
# Structures
-------1
Use/Nature New SFR with Attached Garage, includes 12x13 patio.
ofWork
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$130,699.00 Plan Approval
$75.00 Permit Fee Paid
$502.00 Park Dedication
$200.00
Issued By:
Date 04/10/2006
Final/O.P. 00/00/0000
0 PenmitVoided I
Paroolld # 1282001413
In the performance of this wort< I agree to perfonm 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
:~~~~::::nd t~~before starting such activity. Date /Ó4¡O12Qh
Agent/Owner
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 wilt 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
7340
Name GF HOLDINGS INC
Address 4015 HEMLOCK CT
Create Date 04/07/2006
Lot
Block
Ward
Subdivision
Zone
Street Number
Lot Dimensions
~dewalk Existing J
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. ~ ~
~ t7
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.
0118896
Parcel No.
Plbg LiciCert #
6461
Plbg LiciCert #
0 HVAC 0 Eiec
Mailing Address
980 AMERICAN DR
Mailing Address
980 AMERICAN DR
Mailing Address
0 Plbg
~ Erosion
0 Other:
~ Constr
NEENAH
Telephone No.
WI 54956 - 0000
Telephone No.
920-727-4874
Telephone No.
NEENAH
WI 54956 - 0
- 0
Plbg LiciCert # Mailing Address
Telephone No.
-0
Plbg LiciCert # Mailing Address
Telephone No.
S . ft.
Subdivision Name
1/4,
1/4,Sectlon
Lot No.
,T
-0
N,R E(or)W
Block No.
Front
Rear
Left
Right
0 Other:
" Forced Air Furnace
0 Radiant Baseboard or Panel
0 Heat Pump
0 Boiler
Central Air Conditioning
Other
Nat. L.P. Oil Elec. Solid Sola
Ga
SpaceHtg ~ 0 0 0 0
WaterHtg ~ 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.
0
0
Fuel
Unfinished
Basement
Living Area
23157 BTU/HR
15671 BTU/HR
Garage
$148,000.00
DATE SIGNED /OA1¡ÐR¿ì6
APPROVAL CONDITIONS This p is' ed-pursuant to the following conditions. Failure to comply may result In suspension or
revoca on of this permit or other penalty
Submit truss plans prior to installation, maintain erosion control until entire development has fully established lawn.
future submittals for this development shall Include site plans showing location of adjacent structures
APPLICANT'S SIGNATURE
Note: all
0 Village ~ City 0 County 0 State of:
City Of Oshkosh
Inspection
Wis. Permit Seal
Other
Total
SBD-5823 (R. 07/92)
$30.00
Construction
0 HVAC
0 Electrical
0 Plumbing
~ Erosion
0
Date
4/7/2006
$105.00
352253
Cert. No.
70264
G
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
4015 HEMLOCK CT
Date 04/10/2006
Name
PORTSIDE PROPERTIES
980 AMERICAN DR
NEENAH
WI
54956
Address
Subdivision
Lot
Building Permit Number
0118896
Number of Dwelling Units
Fee Required
J.
$200.00
Number of Structures
Fee Paid
Dwner's Signature
Inspector's Signature
~~~
Date /ó'4'p/èC6
Date
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