HomeMy WebLinkAbout0127614-Building
G
OSHKOSH
ON THE WATER
Job Address 3940 HEMLOCK CT
CITY OF OSHKOSH No 127614
BUILDING PERMIT - APPLICATION AND RECORD
Owner PORTSIDE BUILDERS Create Date 10/30/2007
Designer
Contractor PORT~IDE BUILDERS, INC.
110 - New Single Family Plan 053-1007
Category
Type
. Building
R-1PD
o Sign
o Canopy
o Fence
o Raze _______~_______J
Size IRRG
Zoning
Class of Const: 8
Height 23 Ft.
D Projection I
__d. _ _..______J
Unfinished/Basement ~ Sq. Ft.
Finished/Living ~ Sq. Ft.
Rooms
7
3
2
Stories
Canopies
Bedrooms
Garage
~ Sq.Ft.
Baths
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Requi~~~_ Occupancy Fee
$0.00 Flood Plain No
Height Permit .Not R_a..quireC!_
# Structures
Park Dedication
Required
# Dwelling Units
Use/Nature -NSFR/New single fumily* 3 car alached- gan3g-e-TO' x 15'=6"patio'-ThedrivewaySl1allnot exceed2-4' wide at the -froni-pro.pertYlme. ------1
of Work I
i
I
I
J
HV AC Contractor
EXTREME HEATING AND COOLING INC
Plumbing Contractor
SBS PLUMBING LLC
Electric Contractor P&J KAMPO ELECTRIC INC
Fees: Valuation $202,909.00 Plan Approval
Issued By: ~~
$75.00 Permit Fee Paid
$742.00 Park Dedication $200.00
--~-------~--'---
Date 11/01/2007
FinaI/O.P. 00/00/0000
D Permit Voided ·
,._.__..o'___on'_.__'__....' __..__-1
Parcelld # 1282000900
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 any nec sary approv~ls bef start g s ch activity.
Signature
Date
Address 980 AMERICAN DR
NEENAH
WI 54956 - 1363 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 notperformed within two business days from the time the project is ready.
G
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 7469
Name PORTSIDE BUILDERS
Address 3940 HEMLOCK CT
Create Date 10/30/2007
Lot 9
Block
Ward
Subdivision
Zone
Lot Dimensions
U_?J9~~~iI<~~~ls~~Q::~J
Street Number 3940 HEMLOCK CT
Building Grade Elevation Stakes Set At Site 10/30/2007 Set By
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade establishe, d ber:J;!;;tion
has commenced. '1/}~ ~
o
OSHKOSH
ON THE WATER
Job Address 3940 HEMLOCK CT
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 11/01/2007
Name PORTS IDE BUILDERS
Address
980 AMERICAN DR
NEENAH
WI
54956
~----~-~
Subdivision Lot 9
Building Permit Number 0127614
Number of Dwelling Units
Number of Structures
Fee Required
$200.00
Fee Paid
Owner's Signature
~.~
Date
Inspector's Signature
Date
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
Application No.
WISCONSIN UNIFORM
BUILDING PERMIT
APPLlCA TION
0127614
Parcel No.
D Seasonal
~ Permanent ~ Municipal Utility
~ Plu;-Bas~~;~t-~ D Other 0 Private On-Site Well 220000
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 imRlie on the, D~part . or u 'cipality; and certifies that all the above information is lccurate.
APPLICANT'S SIGNATURE DATE SIGNED 1//1 _ Ol
APPROVAL CONDITIONS This permit is is ued 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
D Constr
D HVAC D Elec
Mailing Address
980 AMERICAN DR
Mailing Address
980 AMERICAN DR
Mailing Address
50 PHEASANT CT
Mailing Address
1754 FREEDOM RD
Mailing Address
4635 RED FOX RD
Plbg Lic/Cert #
6461
Plbg Lic/Cert #
647786
Plbg Lic/Cert #
966712
Plbg Lic/Cert #
246943
S . ft.
Subdivision Name
'" Single Family
D Two Family
D Garage
D Other (print):
Entrance Panel
Size: 200
-~
Service:
D Overhead
~ Underground
D Other:
Unfinished
Basement
Living Area
Sq. ft.
Sq. ft.
Sq. ft.
1815
-..---..------.--
1815
-------
791
2-Story
D Other
Garage
D Plbg
~ Erosion
D Other:
Telephone No.
NEENAH WI 54956 - 0000
Telephone No.
NEENAH WI 54956 - 1363 920-727-4874
Telephone No.
APPLETON WI 54915 - 4527 (920) 730-8556
Telephone No.
LITTLE CHUTE WI 54140 _ 1347 920-687-2332 9
Telephone No.
OSHKOSH WI 54904 - 7784 920-410-5933
1/4,
N,R E(or)W
Block No.
1/4,Section ,T
Lot No.
9
Left
Forced Air Furnace
D Radiant Baseboard or Panel
D Heat Pump
D Boiler
D Central Air Conditioning
Nat. L.P. Oil Elec. Solid
Gas
Space Htg ~ D 0 D D D
Water Htg ~ D D 0 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. 0 Exterior
air infiltration barrier.
Sewer
~ Municipal
D Septic
Perm it No.
D Village ~ City D County D State of:
City Of Oshkosh
Inspection
Wis. Permit Seal
Other
Construction
D HVAC
D Electrical
D Plumbing
~ Erosion
D
381604
$30.00
-_._-----,
Total
SBD-5823 (R. 07/92)
$105.00
Municipality Number of Dwelling Location:
7 0 2 6
Name JOHN ZARATE
Date 10/30/2007
Cert. No. 70330
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