HomeMy WebLinkAbout0126502-Building
e
OSHKOSH
ON THE WATER
Job Address 1120 PHEASANT CREEK DR
CITY OF OSHKOSH
No
126502
BUILDING PERMIT - APPLICATION AND RECORD
Owner CYPRESS HOMES
Create Date 08/28/2007
Designer
Contractor CYPRESS HOMES
Category
110 - New Single Family Plan 036-0807
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R1
Class of Const: 8
Size IRREG
Unfinished/Basement ~ Sq. Ft.
Rooms
3
Height
Ft.
D Projection I
Finished/Living
1499 Sq. Ft.
~ Sq.Ft.
Bedrooms
3
Stories
Canopies
Garage
Baths
2
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
Height Permit Not Required
Park Dedication
Required
# Dwelling Units
# Structures
Use/Nature New Single Family Home / New 149ffsf homewith"680 sf attached garage! Additional Permit required for deck or patio.
of Work
HV AC Contractor
BAY AREA SERVICES INC
Plumbing Contractor
HANSON QUALITY PLUMBING
Electric Contractor TEAM SERVICES INC
Fees: Valuation
$130,900.00 Plan Approval
$75.00 Permit Fee Paid
$526.00 Park Dedication
$200.00
Issued By:
Date 08/29/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld #
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 c!-, e any necessary appr before starting such activity. s...l.., 0 1"",- '"""\
Signature Date ~
AgenUOwner
Address 1516 LAKESHORE DR
MENASHA
WI 54952 - 0000 Telephone Number 707-2002
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.
o
OSHKOSH
ON THE WATER
Job Address 1120 PHEASANT CREEK DR
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 08/29/2007
Name CYPRESS HOMES
Address
611 N L YNDALE #135
APPLETON
WI
54914
Subdivision Lot 17
Building Permit Number 0126502
Number of Dwelling Units Number of Structures
$200.00 Fee Paid
~~.
Fee Required
Owner's Signature
Date
e(~~~7
Inspector's Signature
Date
e
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 7456
Name CYPRESS HOMES
Address 1120 PHEASANT CREEK DR
Create Date 08/28/2007
Lot 17
Block
Ward
Subdivision
Zone
U Sidewalk Existing
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site 08/28/2007 Set By
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. ~~_
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.
0126502
Parcel No.
D Constr D HVAC DElee D Plbg
Mailing Address
611 N L YNDALE #135
Plbg Lic/Cert # Mailing Address
6850 1516 LAKESHORE DR
Plbg Lic/Cert # Mailing Address
171802 2602 AMERICAN DR
Plbg LiclCert # Mailing Address
5180 2260 LARSEN RD
Plbg Lic/Cert # Mailing Address
550 N BLUE MOUND RD
o Erosion D Other:
Telephone No.
APPLETON WI 54914 - 0000
Telephone No.
MENASHA WI 54952 - 0 707-2002
Telephone No.
APPLETON WI 54914 - 9010 (920) 738-5885
Telephone No.
GREEN BAY WI 54303 - 4810 920-435-7111
Telephone No.
APPLETON WI 54914 - 5748 730-0205
S . ft.
Subdivision Name
1/4,
1/4,Section ,T
Lot No.
17
Left
N,R E(or)W
Block No.
1499
Nat. L.P. Oil Elec. Solid
Ga
Space Htg 0 D D 0 D D
Water Htg 0 D D D D D
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: 0 Full sealing
of joints. D Blower door test. D Exterior
air infiltration barrier.
Living Area
1499
680
D Seasonal
o Permanent 0 Municipal Utility
o Plus Basement D Other D 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 implied, on the Depa ent or municipality; and certifies that all the above informati n is accurate.
APPLICANT'S SIGNATURE DATE SIGNED 8 2-~ lcJ?
Garage
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
Maintain properly installed Erosion Control along street property line and downslope sides of lot. Note: Heat Loss cales don't mirror plan (attic insul R50 vs
R40 on Cales, walls 24"OC on plan vs 16" OC on cales. Provide proper girder truss bearing.
D Village 0 City D County D 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
D HV AC
D Electrical
D Plumbing
o Erosion
D
Name Allyn Dannhoff
Date 8/28/2007
$105.00
352317
Cert. No. 70264