HomeMy WebLinkAbout0123194-Building
e.
OSHKOSH
ON THE WATER
Job Address 3920 HEMLOCK CT
CITY OF OSHKOSH No 123194
BUILDING PERMIT - APPLICATION AND RECORD
Owner PORTSIDE PROPERTIES Create Date 01/15/2007
Designer
Contractor PORTSIDE BUilDERS, INC.
110- New Single Family Plan 002-0107
Category
Type
. Building
R-1PD
o Sign
o Canopy
o Fence
o Raze
Size Irrg
Zoning
Class of Const: 8
Unfinished/Basement 922 Sq. Ft.
Rooms
10
Height
28 Ft.
o Projection I
Canopies
Finished/Living
~ Sq.Ft.
~ Sq.Ft.
Bedrooms
4
Stories 2
Signs
Garage
Baths
3
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Required
Flood Plain No
Height Permit Not Required
Park Dedication Required
# Dwelling Units
# Structures
Use/Nature NSFRI New single family' 2 story with 3 car attached garage. 12' X 12' PATIO.
of Work
HV AC Contractor
MCM AIR INC
Plumbing Contractor
PLUFF PLUMBING
Electric Contractor ELECTRICAL CONTRACTING SPECIALISTS
Fees: Valuation
$187,000.00
~
Plan Approval
$75.00 Permit Fee Paid
$694.00 Park Dedication
$200.00
Issued By:
Date 01/17/2007
FinaIlO.P. 00/00/0000
o Permit Voided I
Parcel Id # 1282000800
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 se~ure ~~X\ n1cess?ry a~provals"b~ore sartin ,such activity. l J
Signature' ..; , i 1 " , ' Date ,J<: I 1710l
, ..
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
Job Address 3920 HEMLOCK CT
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 01/17/2007
Name PORTSIDE PROPERTIES
Address
NEENAH
WI
54956
Subdivision EDGEWOOD VILLAGE
Lot 8
Building Permit Number 0123194
Number of Dwelling Units Number of Structures
Fee Required
$200.00
Fee Paid
Owner's Signature
>< ~k~~~
Date
)( /117(07
l
Inspector's Signature
Date
'.-
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 7417
Name PORTSIDE PROPERTIES
Address 3920 HEMLOCK CT
Create Date 01/15/2007
Lot 8
Block
Ward
Subdivision EDGEWOOD VILLAGE
Zone
~ Sidewalk Existing
Street Number 3920 HEMLOCK CT
Lot Dimensions
Building Grade Elevation Stakes Set At Site 01/16/2007 Set By d.w.g.
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. ><-.vr1~ '.A ~f:2 o-b.O
Wisconsin D.epartment 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.
0123194
Parcel No.
D Constr D HV AC DElee 0 Plbg
Owner's Name Mailing Address
PORTSIDE PROPERTIES
Contractor: ~ ConO ElecD HVAC Plbg Lic/Cert # Mailing Address
PORTSIDE BUILDERS, INC. 6461 980 AMERICAN DR
Contractor: Con ~ Elec HVAC Plbg LiclCert # Mailing Address
ELECTRICAL CONTRACTING SPECIALISTS LL< 662631 PO BOX 42
Contractor: Con Elec ~ HVAC Plbg LiclCert # Mailing Address
MCM AIR INC 4264 6122 COUNTY ROAD M
Contractor: U Con Plbg LiclCert # Mailing Address
PLUFF PLUMBING 227400 PO BOX 264
S . ft. 1/4,
Subdivision Name
EDGEWOOD VILLAGE
Front
o Erosion
o Other:
Telephone No.
NEENAH
WI 54956 - 0000
Telephone No.
920-727-4874
Telephone No,
920-428-7000
Telephone No.
WINNECONNE WI 54986 _ 9780 920-582-4402
Telephone No.
WI 54931 .. 264 779-4884
,T N,R E(or)W
Block No.
BERLIN
WI 54923 - 0
NEENAH
WI 54956 - 0
DALE
1/4,Section
Lot No.
8
Left
D D
D 0
Living Area
922
2193
750
Sewer
o Municipal
o Septic
Permit No.
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: 0 Full sealing
of joints. 0 Blower door test. D Exterior
air infiltration barrier.
Garage
Envelope 32062
Infiltration 19327
o Seasonal
o Permanent 0 Municipal Utility
o Plus Basement 0 Other D Private On-Site Well 215000
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 impli , on .the I?epart . t or uni ipality; and certifies that all the above information is ccurat .
APPLICANT'S SIGNATURE K DATE SIGNED V'"
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
STANDARD CONDITIONS OF APPROVAL
o Village 0 City 0 County 0 State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
, 7 0 2 6
Inspection
Wis. Permit Seal
Other
Total
SBD-5823 (R. 07/92)
$30.00
Construction
o HVAC
o Electrical
o Plumbing
o Erosion
o
Name JOHN ZARATE
Date 1/15/2007
$105.00
352297
Cert. No. 70330
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