HomeMy WebLinkAbout0119573-Building
~
OSHKOSH
ON THE WATER
Job Address 2405 SHORE PRESERVE DR
¡.
CITY OF OSHKOSH
No
119573
BUILDING PERMIT - APPLICATION AND RECORD
Owner AL & TERESA GERRITS
Create Date
05/12/2006
Designer
Contractor
PORTSIDE BUILDERS, INC.
Type
. Building
R.1PD
0 Sign
0 Canopy
Class of Const:
0 Fence
0 Raze
Plan 028"05068
/
Category
110 - New Single Family
Zoning
Size
Unfinished/Basement
~Sq.Ft.
~Sq.Ft.
Rooms
6
Height 24 Ft.
D Projection I
Finished/Living
Bedrooms
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 No
Height Permit Not Required
Park Dedication
Required
# Dwelling Units 1
# Structures
Use/Nature NSFR! New Single family '1 story with 3 car attached garage and 10' x 12' patio/ deck.
of Work
HVAC Contractor
MCM AIR INC
Plumbing Contractor
SBS PLUMBING LLC
Electric Contractor
ELECTRICAL CONTRACTING SPECIALISTS
Fees: Valuation
$250,788.00 Plan Approval
$75.00 Permit Fee Paid
$862.00 Park Dedication
$200.00
Issued By:
Date 05/17/2006
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1281480000
In the performance of this work I agree to perfonn 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 perfonn the work
:~::!:::~d:~.: ~ennit :P~I~~~:s::~~;;o e:1 b ~:~~~~~~s the pennit applicant to contact the e:::~e5 J (7 /0 ~
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 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
7353
Name AL & TERESA GERRITS
Address 2405 SHORE PRESERVE DR
Create Date 05/12/2006
Lot
48
Block
Ward
Subdivision North Shore Preserve
Zone
I I Sidewalk Existing
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site
05/15/2006
Set By
D.W.G. BK566, P.50
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the ra
has commenced.
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.
0119573
Parcel No.
D Constr
0 HVAC DElee
Mailing Address
651 W 11TH AVE
Mailing Address
980 AMERICAN DR
Mailing Address
PO BOX 42
Mailing Address
6122 COUNTY ROAD M
Mailing Address
PO BOX 3904
S . ft. 1/4,
Subdivision Name
North Shore Preserve
Front
D Plbg
~ Erosion
D Other:
Telephone No.
WI 54901 - 0000
Telephone No.
920-727-4874
Telephone No.
920-428-7000
Telephone No.
WINNECONNE WI 54986 - 9780 920-582-4402
Telephone No.
WI 54903 - 3904 920-410-5933
NEENAH
WI 54956- 0
Oshkosh
BERLIN
WI 54923- 0
OSHKOSH
Lot Area
1/4,Section
Lot No.
48
Rear Left
,T
N,R E(or)W
Block No.
Building Address
2405 SHORE PRESERVE DR
Zoning District(s) Zoning Pennit No.
Right
./ New
D Alteration
D Addition
D Repair
D Raze
D Move
./ Forced Air Furnace
D Radiant Baseboard or Panel
D Heat Pump
D Boiler
./ Central Air Conditioning
Other
Nat. L.P. 011 Elec. Solid Sola
Ga
SpaceHtg~ D D D D D
WaterHtg ~ D D D D D
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: ~ Full sealing
of joints. D Blower door test. D Exterior
air infiltration barrier.
Fuel
D Other:
Unfinished
Basement ~ Sq. ft.
LlvingArea ~ Sq. ft.
Garage 1132 Sq. ft.
Envelope 38537
Infiltration 22900
BTU/HR
BTU/HR
280000
DATE SIGNED
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this pennit or other penalty
SEE "STANDARD CONDITIONS OF APPROVAL" SHEET
0 Village ~ City D County D State of:
City Of Oshkosh
Inspection
Wis. Permit Seal
Other
$30.00
Date
5/15/2006
Total
SBD-5823 (R. 07/92)
$105.00
352265
Gert. No.
70330
~
OSHKOSH
ON THE WATER
Job Address
PARKLAND DEDICATION FEE COLLECTION RECORD
2405 SHORE PRESERVE DR
Date 05/17/2006
Name
AL & TERESA GERRITS
Address
651 W 11TH AVE
Oshkosh
WI
~
Subdivision North Shore Preserve
Lot 48
Building Permit Number
0119573
Number of Dwelling Units
Number of Structures
Fee Required
$200.00 Fee Paid
~~~M
Date ~O ~
Owner's Signature
Inspector's Signature
Date
-May. 9, 2006- 2:03PM=city of oshkd
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City of Oshkosh
Community Development
20 0
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20
40 Feet
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Parcel 12-8148-0000
Northshore Preserve
Subdivison
N
A
05-09-2006
Scale: 1" = 40'
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