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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) $105.00 Municipality Number of Dwelling Location: 7 0 2 6 Name JOHN ZARATE Date 10/30/2007 Cert. No. 70330 \..ret1 \..-0 Y \< , r>1 - ~/1 7.a..)1 <'l D / fr,JrY'(,'J ( v~"'" ~. -------;l:I J \ .,' ." .r::=-... " .~~"'J-.nII - \ _, _ . ~ '> P ~,"fl1 ~ '~>/;~:<</ \ ' {J) - -~ () - E ~ z - ----- ~ -. ---...------------ ------- o '" OT - ~ - - - o {J) - - m t\'~C :?/lVJ1{J'YlJ ) ~IJ - o 5 t1 ~ 5 j <-. H7I:"J.4.S :;:. 0 3'?~ -Yi l$':::' ;( Df