HomeMy WebLinkAbout0154020 - Building CITY OF OSHKOSH No 154020
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3125 BAILEY CT Owner KEVIN J WACHHOLZ Create Date 12/21/2012
Designer Contractor PORTSIDE BUILDERS, INC.
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan File
Type • Building O Sign 0 Canopy 0 Fence O Raze
Zoning R-1 -- 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 O Floating Slab 0 Pier 0 Other
O Concrete Block 0 Post 0 Treated Wood -- - -
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Remodeling the basement to include a craft room,fitness room,family room,bar area and a half bath/laundry room. No bedrooms
of Work will be constructed in this area. All construction shall comply with local and state building code requirements.
HVAC Contractor MCM AIR INC Plumbing Contractor HANSON QUALITY PLUMBING
Electric Contractor KOLLMANN ELECTRIC LLC
Fees: Valuation $21,000.00 Plan Approval $50.00 Permit Fee Paid $151.00 Park Dedication $0.00
Issued By: Date 12/21/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1342951200
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 necessary approvals before starting such activity.
I have read and and p tand the afo e tioned' ormation.
Signature IC gy Date /Z Z I / 2
(/ Agent/Owner
Address 980 AMERICAN DR NEENAH WI 54956 - 1363 Telephone Number 920-727-4874
* 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.
CITY OF OSHKOSH BUILDING PERMIT APPLICATION
For 1 and 2 Family Homes
Owner's Name Mailing Address Phone No.
i.' r L i 9 t 1 djer s) )C C h r :, z c Jr (RZc;) e :'-)r (‘-,- l 40 1
Contractor's Name: Mailing Address ,4 . , ; , Lic/Cert# Phone No.
Cif C
/C ,_ e !�� )j !.J'� f�t ._ � i. .. i+" i 7 8 v GL1 0 I (cr7L') a.. i !%F
Plumbing Contractor's Name: Mailing Address Lic/Cert# Phone No.
1-10%,:,':,,,r,... N 101-1,:i -; _..,, r zit _ (ci
Electrical Contractor's Name: Mailing Address no, a_ Lic/Cert# Phone No.
le,:- ',, ,1',,ii r I t`: Y ._ �lr., ! -.:i.� cji'�G;f ..Ly L?Pt-'' _ (`'_if) 27 _ (✓J _
HVAC Contractor's Name: Mailing Address col-2 ('o:_.; f ,c1 Lic/Cert# Phone No./
PROJECT LOCATION
Building Address Subdivision Name Lot No.
312.5 rzo i ey C
Zoning District Setbacks: Front Rear Left Right
ft. ft. ft. ft.
PROJECT INFORMATION
OCCUPANCY AREA CONST.TYPE STORIES NUMBER OF
XSingle Family Unfinished Basement 10 sq.ft. IJ Site Constructed ROOMS
❑Two Family El Manufactured ❑ 1-Story _ Bathrooms
0 Other Living Area sq.ft. ❑2-Story
FOUNDATION ❑Bi-level _ Bedrooms
Garage _ sq.ft. CI Tri-level
USE C Concrete
Seasonal r Masonry - Quad-level — Remaining
L Permanent HEIGHT C 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 Sale Price of the Project $
❑ 100 Amps ❑Municipal ❑Municipal Utility (Final cost of house,lot& labor)
200 Amps ❑Septic ❑Private On-Site Well
Service: Permit No. MINUS -
L1 Underground The Cost of the Lot $
❑Overhead MINUS -
HEAT LOSS The Cost of the Mechanicals $
Envelope Btu/Hr EQUALS =
The Cost of Construction $ 2-)i CK-',
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
❑Heat Pump
Space Htg 11 Boiler
❑Central Air Conditioning
Water Htg ❑Other
APPLICANTS SIGNATURE: DATE:
05/05