HomeMy WebLinkAbout0145897-Building CITY OF OSHKOSH No 145897
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3225 WHITE TAIL LN #F Owner HUNTERS RIDGE OF OSHKOSH LLC Create Date 05/16/2011
Designer Contractor MIDWEST GENERAL CONTRACTORS INC
Inspector Nicole Krahn
Category * 140 - Interior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning Class of Const: Size
Unfinished /Basement Sq. Ft. Rooms Height Ft. ❑ Projection
Finished /Living Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature COMM/ Basement Remodel *Remodeling the basement to create a family room, bathroom and bedroom. All construction shall comply
of Work with state building code requirements. The sprinkler system shall comply with the new room layouts.
HVAC Contractor CONDON TOTAL COMFORT Plumbing Contractor WATTERS PLUMBING
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $16,000.00 Plan Approval $50.00 Permit Fee Paid $124.00 Park Dedication $0.00
Issued By: 2:5TYA).-- Date 05/16/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1329610247
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 necessa approvals before starting such activity.
I have read and un(lerstand t afore i entioned'nformation. S' /` %/
Signature G� L / Date 0
t W t Agent/Owner
''' Address 2990 UNIVERSAL ST STE C OSHKOSH WI 54904 - 5903 Telephone Number 426 -2008
* 140 - Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500 -113 on the DNR
Asbestos Program website; http: / /dnr.wi.gov /air /compenf /asbestos /. For additional information on hazards present in buildings see
the Pre - Demolition Environmental Checklist at http: / /dnr.wi.gov /org /aw /wm /publications /anewpub /WA651.pdf
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 not performed within two business days from the time the project is ready.
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CITY OF OSHKOSH BUILDING PERMIT APPLICATION
Owner's Name Mailing Address Phone No.
M( wet GeAcrq,( CoAirkciorf a, t 0 UX1 ;vtrAt s. Svi4e '' °) 9a6 -oog
Contractor's Name: Mailing Address Lic /Cert # Phone No.
/Vli d vest 6m erc.1 Conlfacl aclg U verr ( si. Svie. C 6 S 0 5 (9ao) yx6400s
Plumbing Contractor's Name: Mailing Address s4 is). Lic /Cert # Phone No.
waiA�s P10nlo ;ng . o .ao L 118 Acww aabsyo ( o) 133 - 8fd.5
Electrical Contractor's Na e: Mailing Address Lic /Cert # Phone No.
C-�.r1/h ; 95 Eicelr,'c k'.0.bon 7y7 NeeNA4 sY9S7 110 (9a.o) 73.). -iYa
HVAC Contractor's Name: Mailing Address Lpo„"" Lic /Cert # Phone No.
COndo/ /10;4A t.Coo(j, (a akac4,rn SA.• 3a.0). (9).0) 1y8 -Soso
PROJECT LOCATION
Building Address Name Lot No.
3 aa 5 - t,./114, ( //iif trl R 1'dg e_
Zoning District Setbacks: Front Rear Left Right
ft. ft. ft. ft.
PROJECT INFORMATION
OCCUPANCY AREA CONST. TYPE STORIES NUMBER OF
IX Single Family 4rnfinished Basement 5 g3 sq.ft. Site Constructed ROOMS
❑ Two Family ❑ Manufactured pit 1 -Story l' Bathrooms
❑ Other Living Area sq.ft.
❑ 2 -Story I
FOUNDATION ❑ Bi -level _ Bedrooms
USE Garage sq.ft. Tri-level
❑ Seasonal Concrete
Masonry ❑ Quad -level - Remaining
❑
(Permanent HEIGHT ❑ Treated Wood ❑ Other Finished Rooms
❑ Other Height of the Structure (from final grade to the peak ❑Other
of the roof)
ELECTRICAL PLUMBING WATER BUILDING COST
Panel Size: Sewer
100 Amps Munici al Sale Price of the Project $
p Pr Municipal Utility (Final cost of house, lot & labor)
❑ 200 Amps ❑ Septic ❑ Private On -Site Well
Service: Permit No. MINUS -
CI Underground The Cost of the Lot $ _
❑ Overhead MINUS - y
HEAT LOSS The Cost of the Mechanicals $ 00 0
Envelope Btu/Hr EQUALS = �
The Cost of Constriction $ �v, 0 0 0 •
Infiltration Btu/Hr - (Fair market value which includes labor)
ENERGY SOURCE HVAC EQUIPMENT
Forced Air Furnace
Choices: Natural Gas, L.P., Oil, Elec, Solid, Solar ❑ Radiant Baseboard or Panel
Space Htg I f ` o ❑ Heat Pump
//��' {{ ❑ Boiler
Water Htg /'al'• .3a5 Natural
Central Air Conditioning
❑ Other
APPLICANTS SIGNATURE:
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