The URL can be used to link to this page

Home My WebLink About0100124-BuildingOSHKOSH ON THE WATER Job Address 4590 SHAMBEAU DR Designer CITY OF OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD Owner JASON BORGARDT Contractor CHUCK HIETPAS CONSTRUCTION INC Category 110 - New Single Family Type · Building O Sign O Canopy O Fence O Raze No 0100124 Create Date 03/03/2003 Plan E1-016-0303R Zoning R-1 Class of Const: 8 Unfinished/Basement 1632 Sq. Ft. Rooms 6 Finished/Living 1632 Sq. Ft. Bedrooms 3 Garage 816 Sq. Ft. Baths 2 Foundation · Poured Concrete (~ Floating Slab (~ Pier O Concrete Block (~) Post (~ Treated Wood Occupancy Permit Required Flood Plain No Park Dedication Required Ct Dwelling Units 1 Height 19 Ft. Stories I (~) Other Size IRRG [] Projection Canopies 0 Signs 0 Height Permit Not Required Ct Structures 1 Use/Nature of Work iI~nSe.FPJ Single family 1 story with 3 car attached garage. NO DECK OR PATIO. Driveway shall not exceed 24' wide at the front property HVAC Contractor Electric Contractor Fees: Valuation Issued By: .~V~ VALENTINE HEATING & PLBG INC PATRIOT ELECTRIC Plumbing Contractor VALENTINE PLBG $110,000.00 Plan Approval $75.00 Permit Fee Paid $410.00 Park Dedication $100.00 Date 03/07/2003 Final/O.P. 00/00/0000 [] Permit Voided In the performance ¢ thj~C~'ork I agre.(~ to perforrrVall work pursuant to rules governing the described construction. Signatur~ ,~/";~~/'/_~ ~'~'~~.~"'~_~.~.. Date ~'~ ~ ~)~ ~,, v c ...... / A~ger~t/Owner Address 1626 ORCHARD LN / LITTLE CHUTE WI 54140 - 0000 Telephone Number 920-788-5441 OSHKOSH ON THE WATER GRADE STAKE FORM Name JASON BORGARDT Address 4590 SHAMBEAU DP, Lot 16 Block Subdivision ISLAND VIEW ESTATES Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 03/05/2003 Set By D.W.G. BK - 586, P - 68 Grade Stake Number 6903 Create Date 03/03/2003 Ward b.J. Sidewalk Existing Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the gra.d/e established before excavation 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 JApplication No. 0100124 Parcel No. ~)wner's Name JASON BORGARDT Contractor: L~ Conl~ Elec'[~ HVAC ~ Plbg CHUCK HIETPAS CONSTRUCTION lNG Contractor: ~ Con ~ ElecL~ HVACL__J Plbg PATRIOT ELECTRIC Contractor: ~ Con ~ Elec~J HVAC [] Plbg VALENTINE HEATING & PLBG INC [] Constr [] HVAC [] Elec Lic_./Cert # 2445 [] PIbg [] Erosion [] Other: Mailing Address 312 W MELVIN Oshkosh WI 54901- 0000 Mailing Address 1626 ORCHARD LN LITTLE CHUTE WI 54140 - 0 Lic/Cert # Mailing Address 171951 526 VANDENBROEK ST LITTLE CHUTI WI 54140 - 0 Lic/Cert # Mailing Address 3783 W2015 INDUSTRIAL DRIVE KAUKAUNA WI 54130 _ic/Cert # Mailing Address W2015 INDUSTRIAL DR KAUKAUNA WI 54130 Sq. ft. Subdivision Name 1/4, 1/4,SectiOnLot No. ,T N,RBiock No. E(or)W SLAND VIEW ESTATES 16 Contractor: b__J Con [] ElecL_~ HVAC [] Plbg VALENTINE PLBG Lot Area Building Address 4590 SHAMBEAU DR Zoning District(s) Zoning Permit No. Telephone No. 235-9228 iTelephone No. '920-788-5441 Telephone No. 920-687-9701 Telephone No. -0 414-788-5369 Telephone No. -0 920-788-5369 Front Rear Left Right New [] Repair Single Family Entrance Panel Forced Air Furnace Fuel [] Alteration [] Raze Two Family Size: [] Radiant Baseboard or Panel Garage Service: [] Heat Pump Space Htg [] Addition [] Move [] Other (print): [] Overhead [] Boiler Water Htg [] Other: [] Underground Central Air Conditioning unit will have 3 kilowatt or. [] site Constructed Concrete Other more installed electric space heating equip. Infiltration control option is: [] Full sealing Unfinished [] Manufactured Masonry Sewer of joints. [] Blower door test. [] Exterior Basement 1632 Sq. ft. Treated Wood [] Municipal air infiltration barrier. Living Area 1632 Sq. ft. 1-Story Other [] Septic Garage 816 Sq. ft. [] 2-Story Permit No. Envelope 28772 BTU/HR [] Other [] Seasonal Infiltration 10612 BTU/HR [] Permanent [] Municipal Utility [] Plus Basement [] Other [] Private On-Site Well $125,000.00 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, exp~~d, on the,,~,~artme~r/j;~l~c~and certifies that all the above information is accurate. APPLICANT'S SIGNATURE~///',~'~.~..,J_~,-".,,~.~.-,/'~_~f/~.~_,~ ~", ~_~_ DATE SIGNED /~'~p~rrr~it is issued pursuant to t~le follo,~ conditions-.- ~re to comply may result in suspension or APPROVAL CONDITIONS 'revocation of this permit or other penal~f' SEE "STANDARD CONDITIONS OF APPROVAL" SHEET [] ToWn [] Village [] City [] County L__J State of: Municipality Number of Dwelling Location: CityOf Oshkosh 7 0 - 2 6 6 Plan Review $75.00 Construction HVAC Name JOHN ZARATE Inspection Electrical Wis. Permit Seal $30.00 [] Plumbing Date 3/5/03 Other [] Erosion Tota~ $105.00 288714 Cert. No. 70330 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER Job Address Name Address PARKLAND DEDICATION FEE COLLECTION RECORD 4590 SHAMBEAU DR JASON BORGARDT 312 W MELVIN Date 03/07/2003 Oshkosh WI 54901 Subdivision ISLAND VIEW ESTATES Lot 16 Building Permit Number 0100124 Number of Dwelling Units 1 Number of Structures Fee Required $10.~.00 Fee Paid Owner's Signature ~,/~/~~~~'~~" ~ Inspector's Signature Date O/HKO/H ON THE WATER City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903-1130 Office 920-236-5050 Fax 920-236-5084 PLAN REVIEW Project Address:4590 SHAMBEAU DR Submitted By:CHUCK HIETPAS CONST. Plan Number:E 1-016-0303R Reviewed By: JZ Phone: 920-236-5119 Date Reviewed: 3/5/2003 Phone Number: 585-2146 [-] Mailed r-] Faxed [-] Delivered Date: Result of plan Review: [5~ Conditionally Approved [--] Withheld Pending Approval of Additional Information [-1 Not-Approved, Plans Returned for Revisions Conditions Noted on Plan Review 1) Fire seperation shall be provided between the living space and the garage. 2) A code compliant exit shall be provided for the rear patio door. Ifa deck is to be constructed a permit shall be obtained prior to construction. 3) Provide beam calculations for basement beam (LVL) to verify bearing length and column pad size. Proiect Address .~:2) O' Permit # Please read the following informati°n and sign at the bottom to 'aCknoWledge that you have read and agree t° cOmPly With theSe conditions. o ro0ms.mu~t b.e provided with 8% light ~ located on the second h;;~ or below ground level must be provided with egress windows in addition to the light and ventilation requirements. Basement windows are al~O ....... -. required to have window w~l! ~e~.~n.~~ag,_~e~w~,~I~L ~H~R~ 1..0_3: Garage spaces shall be in )8. The door and frme assembly between the dwelling unit and an attached garage shall be labeled bY an indepei~dent testing agency as having a minimum fire-resiStive rating of 20 minutes. All'~wall joints are reqUired to be taped/sealed unless the joints are fitted so that the gap is no more than a dimes thickness (1/20-inch) and backed'by solid wood or drywall with the joints staggered. All includes holes in the top and bottom plates, gaps around heating ducts, and holes in the retum air spaces. Hydromassage tubs are required to have an access panel to motor. The access panel must be accessible without removing the finish of the house. All overfrming must be designed by the truss manufacturer, according to standards set by the tress Plate institute, or structural calculations must be provided prior t° the rough building inspection. Trus~ plans must be ~submi~ed~._an~a~pproved prior to framing the roof. Truss plans including the tress layout must be provided on site at the rough bUilding inspection. In addifion.!~i~h.C..t~._S_S plans, microlam calculations must be provided on site at the rough building inspection for all microlams with point loads on them. Calculati'°ns must be provided for all cantilevered floors with point lC and TjI/s mUst :be designed for the cantilevered areas. - )or trusses 10. 11. 12. 13. 14. 15. 16. 17. The property owner and applicant is responsible fOr compliance with ILHR 21.125 (Erosion Control). 'When installiiig a~Ce~'s dHV~S~ ~ mini'mm 0f'2C3-,'~':~{~'i~/i~ iS'~'~ ~'~ ..... ............. :'~ required in addition to a mlmmum of 6 depth, 30 -50 length, and 14 -20 width. Erosion ' control measures must be maintained until the lawn is established~ All storm sewer inlets must be protected with approved erosion control devices. Tracking (i.e. sediment) must be removed from the street at the end of e%h WOrkday. R~p~r ~ ........ siltation or erosion damage to adjoining SurfaCes and drainageways reSulting from land development or diSturbing' ach'91h~s. The building'placard must be pOsted on site at all times. Once the rough framing is up the placard muSt'be poSted on the patio door or on a kitchen window. If the-placai?d is'not present at any inspection, stop work oiders will be posted. Additional placards canbe obtained through our department if'~'~a~s ~l/i?~'mlSpia~d. All mechanicals must be rOughed in prior to requesting the roUgh buildin~ i?/~t[~/if~i~'' ...................................... on the inspection the mechanicals are not roughed in, the inspection will fail and a $100 re-inspection fee Will be charged. Attached is a copy of the final inspection checklist. At the final inspection all items on this list must becompleted to avoid the $100 re-inspection fee per insPeCtion. '~' ~ When requesting final inspections please note that a minimum of 2 days'-fi0tid~'~ n~ed~d from the time the inspection is ready. Furniture is only allowed to be placed in the center of the garage flO6r arid a minimum ora3, pathway must be provided'around ih~ %ails:k3f :~: the garage. At the final inspection no furniture or personal belongings are allowed in the house. Appliances such as the stove, refrigerator, washer, and drYer are' not-to beSet'in place due to the electrical, inspector'needing t0 look at the poWer serving the appliances2 A 6' stepladder must be on site at the final inSpection to provide access to the attiC. ' The building placard must remain on the patio door or on a kiichen windoTM occupancy is approved. Occupancy is not'allowed PriOr't° the placard having' ~16f the final inspection approwdstiCkers on the backside.~ i~'b'~i3~~i~s~i~r~6~fli~ inspections being approved daily citatiOns ~11 be i~d ~th n6"~"h~'~'~"'~i~ given. All site grading must be done in accordance with the approved draimig6 pl/~n' 6ii"file i~ tbs public works office, 3rd floorl