HomeMy WebLinkAbout0155939-Building � CITY OF OSHKOSH No 155939
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3880 SHOREBIRD CT Owner KEITH&LUANN ZIEBEL Create Date 05/31/2013
Designer Contractor BERHOFF HOMES LLC
Inspector John Zarate
Category 110-New Single Family Plan
Type � Building � Sign 0 Canopy � Fence 0 Raze I
Zoning Class of Const: Size Irrg
Unfinished/Basement 2289 Sq.Ft. Rooms 7 Height 25 Ft. ❑ Projection !
Finished/Living 2011 Sq.Ft. Bedrooms 2 Stories 1 Canopies
Garage 1010 Sq.Ft. Baths 3 Signs
Foundation � Poured Concrete � Floating Slab 0 Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain No Height Permit Required
Park Dedication Required #Dwelling Units 1 #Structures 1
Use/Nature NSFR/New single family*Single story,3 car attached garage with storage area adjacent to the space. Seperate permits required for
of Work uture deck,patio or driveway.PLAN REVIEW DOES NOT INCLUDE PATIO OR DRIVEWAY. "check#3212
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HVAC Contractor FOUR SEASONS HEATING&COOLING Plumbing Contractor HANSON QUALITY PLUMBING
Electric Contractor SCHOMMER ELECTRICAL CONTRACTING I
Fees: Valuation $269,090.00 Plan Approval $75.00 Permit Fee Paid $1,030.80 Park Dedication $200.00
Issued By: �r„S Date 06/03/2013 Final/O.P. 00/00/0000
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❑ Permit Voided � Parcel Id# 1281550000
In the performance of this work I agree to perform ali 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
descri e this e mit application ithin an easement,the City strongly urges the permit applicant to contact the easement
holder( an to c re an,�ce ry appr als before starting such activity.
I have re d a d d rsta�he o e i d n ation. r �
Signature ��� �I'��� �� � Date �
Agent/Owner
Address 3077 SAFFRON LN NEENAH WI 54956 - 0000 Telephone Number 920-841-8070
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.
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Bui►dings Division BUILDING PERMIT 0155939
P.O. Box 2509 APPLICATION Parcel No.
Madison,WI 53701-2509
Wisconsin Statues 101.63, 101.73
� ��j�� „ y���p � Constr � HVAC � Elec � Plbg �✓ Erosion ❑ Other:
Owner's Name Mailing Address Telephone No.
KEITH&LUANN ZIEBEL 3099 BELLAIRE LN Oshkosh WI 54904- 0000
Contractor: ✓ Con Elec HVAC Pibg LiGCert# Mailing Address Telephone No.
BERHOFF HOMES LLC 939163 3077 SAFFRON LN NEENAH WI 54956- 0 920-841-8070
Dwelling Contc Qualifier Lic/Cert# The Dwelling Contr.Qualifier shall be an owner,CEO,COB or employee of
John Hofferber 939164 Dwelling Contr.
Contractor.� Con �✓ Elec� HVAC❑ Plbg LiGCert# Mailing Address Telephone No.
SCHOMMER ELECTRICAL CONTRACTING INC 170465 N164 TWO MILE RD APPLETON WI 54914- 9121 (920)731-2299
Contractor. Con Elec ✓ HVAC Plbg LiGCert# Mailing Address Telephone No.
FOUR SEASONS HEATING&COOLING 8111 711 DEERVIEW DR APPLETON WI 54913_ 0 g20-832-1462
Contractor: Con Elec HVAC ✓ Pibg LiGCert# Mailing Address Telephone No.
HANSON QUALITY PLUMBING 222587 550 N BLUEMOUND RD APPLETON W� 54914- 5748 730-0205
"��O �� �°� �� Lot Area
r, a��.�.o . S .ft. 1/4, 1/4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
3880 SHOREBIRD CT NORTH SHORE PRESERVE 55
Zoning District(s) Zoning Permit No. Front Rear Left Right
�! PROJ . . ' _OCCUP I�C. ' b`�ELEGTRICA[. , � V` t� QUIPMEN 1Z�ENERGI�SOURCE� , , }
✓ New � Repair ✓ Single Family Entrance Panel ✓ Forced Air Fumace tt r
Fuel Nat. L.P. Oil Elec. Solid Sola
� Alteration � Raze B Two Family Size:200 am ❑ Radiant Baseboard or Panel Gas *
� Addition Garage Service: ❑ Heat Pump Space Htg ❑✓ ❑ ❑ ❑ ❑ ❑
� Move � Other(print): ❑ Overhead � goiler Water Htg ❑✓ ❑ ❑ ❑ ❑ ❑
❑✓ Underground
❑ Other: � Central Air Conditioning * Dwelling unit will have 3 kilowatt or
� �� � P ✓ Concre��� Other� more installed electric space heating equip. �
�� AREA�N1fOC � ✓ Site Constructed �
❑ ��� O�PLCJ�MBIN6�'_ ;�,�,�� � Infiltration control option is:❑ Full sealing ;
Manufactured ❑ Masonry
Unfinished ❑ Sewer of joints. ❑ Blower door test. ❑ Exterior
Basement 2289 Sq.ft. ❑ Treated Wood
,ST,ORIE. ❑✓ Municipal air infiRration barrier. ;
Living Area 2011 Sq.ft. '� �-Story ❑ Other � Septic �13�IEAt'LOSS�Galculated� ;�` : :;� '
.8.. SE�
❑ 2-Story Permit No. Envelope38199 BTU/HR
Garage 1010 Sq,ft. � Seasonal
❑ Other .11`�WATER. _. Infiltration 27691 BTU/HR
�✓ Permanent � Municipal Utility �74:EST.6UILDING COST" ?£�""�:�"r��"��
❑✓ Plus Basement ❑ �ther � private On-Site Well 301000
I agree to comply with all applicable codes,statutes and ordinances and with the conditions of this permit,understand that the issuance of the permit creates no legal liability,
express or implied,on the state or ' ipality;and certify that all the above information is accurate.If one acre or more soil will be disturbeb,I understand that this
project is subject to ch.NR 151 r arding dditional erosion control and stormwater management.I expressly grant the building inspector,or the inspector's authorized agent,
permission to enter the premises or which his mit� so t at all rea onable hours and for any proper purpose to inspect the work which is being done.
� I vouch that I am or will b an own ro c p t his dw i for ich I am applying for an erosion control or construction permit witho t a Dwelling
Contractor Certification and hav ead th c t o tmen e i c ntractor responsibility on the Building Permit Application. �
APPLICANT'S SIGNATU ����K�6S� DATE SIGNED �
APPROVAL CONDITIONS This permit is issu u uant to the following conditions. Failure to comply may result in suspension or
revocation of this p it or other penalty
SEE ATTACHED"STANDARD CONDITIONS OF APPROVAL"SHEET
❑ Town ❑ Village �✓ City ❑ County ❑ State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 - 2 6 6
Plan Review $75.00 `� Construction
� HVAC Name JOHN ZARATE
Inspection -----
❑ Electrical
Wis. Permit Seal $35.00 � plumbing Date 5/31/2013
Other � Erosion
Total $110.00 ❑ 425877 Cert. No. 70330 ____
SBD-5823(R.07/92)