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OSHKOSH
ON THE WATER
I/o/ill
Job Address 4G4+ HEMLOCK CT
CITY OF OSHKOSH No
Owner PORTSIDE BUILDERS Create Date 08/02/2007
BUILDING PERMIT - APPLICATION AND RECORD
Designer
Contractor PORTSIDE BUILDERS, INC.
Category
110 - New Single Family Plan 032-0807
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const: 8
Size Irrg
Unfi nished/Basement
1747 Sq.Ft.
~ Sq.Ft.
~ Sq.Ft.
Rooms
6
Height 21 Ft.
o Projection I
Finished/Living
Bedrooms
3
2
Stories
Canopies
Garage
Baths
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Required
Occupancy Fee
$0.00 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 and 12' x 12' deck.
of Work
HV AC Contractor
MCM AIR INC
Plumbing Contractor SBS PLUMBING LLC
Electric Contractor ELECTRICAL CONTRACTING SPECIALISTS
$155,128.00 Plan Approval
$75.00 Permit Fee Paid
$601.00 Park Dedication
$200.00
Fees: Valuation
Issued By:
Date 08/07/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1282001406
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 t.hiS ...permit application withi~n easement, the City strongly urges the permit applicant to contact the easement. _ j,'
h~lder(S) ~,,~_~Ji'e u e any necessary ap~rov Is be re st ~ing such activity. () /7 O' )
Signature ;' I . l . Date 6
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 no~ing 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.
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~IX
.
OSHKOSH
ON THE WATER
Name
~oI '"
-4&l"lt HEMLOCK CT
PORTSIDE BUILDERS
Date 08/07/2007
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
Address
980 AMERICAN DR
NEENAH
WI
54956
Subdivision Lot 14 UNIT 7
Building Permit Number 0126147
Number of Dwelling Units Number of Structures
Fee Required
$200.00 Fee Paid
~ ~~V/ K\)b/~
r
Date
? !tl01
Owner's Signature
Inspector's Signature
Date
e
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 7450
Name PORTSIDE BUILDERS
'10/(,
Address ~HEMLOCK CT
Create Date 08/02/2007
Lot 14 UNIT 7
Block
Ward
Subdivision
Zone
Street Number
Lot Dimensions
U Sidewalk Existing
Building Grade Elevation Stakes Set At Site 08/0212007 Set By no grade req'd
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade established~
has commenced. \. ./I(\j ~
-l'~
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
Parcel No.
D Constr D HVAC D Elec D Plbg
Mailing Address
980 AMERICAN DR
Plbg LiclCert # Mailing Address
6461 980 AMERICAN DR
Mailing Address
4641 RED FOX RD
Mailing Address
6122 COUNTY ROAD M
Plbg Mailing Address
4635 RED FOX RD
~ Erosion
o Other:
Telephone No.
NEENAH
WI 54956 - 0000
Telephone No.
NEENAH WI 54956 - 0 920-727-4874
Telephone No.
OSHKOSH WI 54904 - 7784 (920) 230-1994
Telephone No.
WINNECONNE WI 54986 _ 9780 920-582-4402
Telephone No.
OSHKOSH WI 54904 - 7784 920-410-5933
S . ft.
Subdivision Name
1/4,
1/4,Section ,T
Lot No.
14 UNIT 7
Left
N,R E(or)W
Block No.
c..+
Living Area
1747
1747
550
o Seasonal
~ Permanent 0 Municipal Utility
o 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 ~mpli1.' the ,Qep9rtmen nicip lity; nd certifies that all the above information irr~ccurat~;.-.
APPLICANT'S SIGNATURE "-...../f \ DATE SIGNED R'._ 7 I () I
.
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
SEE "STANDARD CONDITIONS OF APPROVAL" SHEET
Garage
o Village ~ City 0 County D State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Inspection
Wis. Permit Seal
Other
$30.00
-/ Construction
o HVAC
D Electrical
D Plumbing
o Erosion
D
Name JOHN ZARATE
Date 8/212007
Total
SBD-5823 (R. 07/92)
$105.00
352327
Cert. No. 70330