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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. ~ l';g ~ iiI ~). ~ ~ ~~ s r ~ :'Q i 0 Q.~ \-.. -f 7'z 2 III .. x:~ i.~ z > EDGEWOOD ROAD coo/coo ~ xl~ ~ ~ ~ r- ill ~ fj l<' 111 I'TI ~ 11 7\ * lJ r- u \jj ~ HSO~HSO 1118 ~~~ XVd Cg:tT OHM LOOZ/LT/TO e 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