HomeMy WebLinkAbout0123230-Building
G
OSHKOSH
ON THE WATER
Job Address 3865 EDGEWOOD RD
CITY OF OSHKOSH No 123230
BUILDING PERMIT - APPLICATION AND RECORD
Owner PORTSIDE PROPERTIES Create Date 01/17/2007
Contractor PORTSIDE BUILDERS, INC.
Designer
Category
110 - New Single Family Plan 003-0107
Type
. Building
R-1PD
_0 Sign
o Canopy
o Fence
o Raz:~_
Zoning
Class of Const: 8
Size Irrg
Unfinished/Basement ~ Sq. Ft.
Rooms
8
Height
23 Ft.
o Projection I
Canopies
Finished/Living
2967 Sq. Ft.
~ Sq. Ft.
Bedrooms 3
Stories
Garage
Baths
3
Signs
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' 1 story 2 car attached garage, 14' x 14' patio. Tempered glass will be required next to the operable panel of the
of Work patio door nin the dining room.
HV AC Contractor
MCM AIR INC
Plumbing Contractor
PLlJFF PLUMBING
Electric Contractor ELECTRICAL CONTRACTING SPECIALISTS
;:"1
$75.00 Permit Fee Paid
$1,153.00 ParkDeditation
$200.00
Fees: Valuation $340,000.00 Plan Approval
Issued By: ~ L,J
Date 01/18/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1282000100
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 an neces~ary appr. ef re tarting such activity. I I
Signature' Date I ~ I g W '7
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 (Le. 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 7418
Name PORTSIDE PROPERTIES
Address 3865 EDGEWOOD RD
Create Date 01/17/2007
Lot
Block
Ward
Subdivision Edgewood Village
Zone
Street Number
Lot Dimensions
U Sidewalk Existing
Building Grade Elevation Stakes Set At Site 01/17/2007 Set By
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade established b
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.
0123230
Parcel No.
o Constr 0 HVAC 0 Elec 0 Plbg
Owner's Name Mailing Address
PORTSIDE PROPERTIES 980 AMERICAN DR
Contractor: ./ ConD ElecO HVAC Plbg Lic/Cert # Mailing Address
PORTSIDE BUILDERS, INC. 6461 980 AMERICAN DR
Contractor: Con./ Elec HVAC Plbg LiclCert # Mailing Address
ELECTRICAL CONTRACTING SPECIALISTS LU 662631 PO BOX 42
Contractor: Con Elec./ HV AC 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
~ Erosion
o Other:
Telephone No.
NEENAH WI 54956 -0000
Telephone No.
NEENAH WI 54956 - 0 920-727-4874
Telephone No.
BERLIN WI 54923 - 0 920-428-7000
Telephone No.
WINNECONNE WI 54986 _ 9780 920-582-4402
Telephone No.
DALE WI 54931 - 264 779-4884
S . ft.
Subdivision Name
Edgewood Village
1/4,
1/4,Section ,T
Lot No.
1
Left
N,R E(or)W
Block No.
o 0
o 0
o Seasonal
~ Permanent ~ Municipal Utility
~ Plus Basement 0 Other 0 Private On-Site Well
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' 'ed, on ~~e D.epa tor uni' ality; and certifies that all th.... e above informatij is aCTrate.
APPLICANT'S SIGNATURE. DATE SIGNED / ._1 2{( 01
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
608
2967
675
Sq. ft.
Sq. ft. ./ 1-Story
o 2-Story
Sq. ft. 0 Other
o Village ~ 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
~ Erosion
D
Name JOHN ZARATE
Date 1/18/2007
$105.00
352298
Cert. No. 70330
G
OSHKOSH
ON THE WATER
Job Address 3865 EDGEWOOD RD
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 01/18/2007
Name PORTSIDE PROPERTIES
Address
980 AMERICAN DR
NEENAH
WI
54956
Subdivision Edgewood Village
Lot 1
Building Permit Number 0123230
Number of Dwelling Units Number of Structures
Fee Required
$200.00
Fee Paid
Owner's Signature
~~~JJ
Date
f/I~!~'7
Inspector's Signature
Date