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Home My WebLink About0104330-BuildingOSHKOSH ON THE WATER Job Address 210 FARMSTEAD LN 110 - New Single Family Designer Category Type · Building Zoning R-I Unfinished/Basement Finished/Living Garage Foundation CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner STEVE ORTIZ Create Date Contractor PORTSIDE PROPERTIES INC Plan El-125-0903R O Sign (~ Canopy (~ Fence (~)Raze 1456 Sq. Ft. 1456 Sq. Ft. 673 Sq. Ft. · Poured Concrete ~ Floating Slab C) concrete Block (~ Post Occupancy Permit Required Park Dedication Required No 104330 09/16/2003 Class of Const: 8 Rooms 5 Bedrooms 2 Daths 2 0 Pier 0 Other 0 Treated Wood Flood Plain No # Dwelling Units Height 24 Ft. Stories Bi-level Size IRRG [] Projection Canopies Signs Height Permit Not Required # Structures I Use/Nature NSFPJ New single family bi-level with 2 car attached and 15' x 11' deck. Ddveway shall not exceed 24' at the front property line. of Work HVAC Contractor Electric Contractor Fees: Valuation IssuedBy: ~ MCM AIR INC HARV'S ELECTRIC $101,178.00 Plan Approval $75.00 Permit Fee Paid [] Permit Voided J Plumbing Contractor WAq-i'ERS PLUMBING $386.00 Park Dedication $100.00 Date 09/22/2003 Final/O.P. 00/00/0000 In the performance of this work I agree to perform all work pursuant to rules goveming 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 t/his permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) a~(I to secure anvnecassary approvals before starting such activity. Signature~L %~¥ d~,~t/~. ~... Date I~. - AgentJOwner Address 923 S MAIN ST OSHKOSH WI 54902 - 0000 Telephone Number 426-1544 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. OSHKOSH ON THE WATER Name STEVE ORTIZ Lot 75 Subdivision North Park Estates Street Number GRADE STAKE FORM Address 210 FARMSTEAD LN Block Zone Lot Dimensions Grade Stake Number 7041 Create Date 09/16/2003 ~L Sidewalk Existing J Ward Building Grade Elevation Stakes Set At Site 09/16/2003 Set By Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. ~/'~g 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 Owner's Name STEVE ORTIZ Contractor:~ conE~ ~ORTSIDE PROPERTIES lNG Contractor: HARV'S ELECTRIC Contmctor:~ Con Building Address 210 FARMSTEAD LN WISCONSIN UNIFORM BUILDING PERMIT APPLICATION Application No. 0104330 Parcel No. [] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other: Mailing Address 923 S MAIN ST Oshkosh WI 54901 - 0000 Mailing Address 923 S MAIN ST OSHKOSH WI 54902 - 0 6461 Lic/Cer[# Mailing Address 6909 401 MILWAUKEE ST KEWAUNEE WI 54216 - 0 Lic/Cert Cf Mailing Address $122 COUNTY ROAD M WINNECONNIW154986 - 9780 Lot Area Lic/CertCf Mailing Address 1303 MIDWAY RD, PO BOX 118 1/4, MENASHA Wi 54952 1/4,Section ,T Subdivision Name Lot No. North Park Estates 75 Telephone No. 426-1544 Telephone No. 426-1544 Telephone No. (920) 388-3699 Telephone No. (920) 582-4402 Telephone No. -1129 ~00-801-8125,7: N,R Block No. Zoning District(s) Zoning Permit No. Front Rear Left Right New [] Repair Single Family Entrance Panel Forced Air Furnace Fuel Alteration [] Raze Two Family Size: 0 am 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 Other more installed electdc .~ [] Site Constructed Concrete Infiltration control option is: [] Full sealing Infinished [] Manufactured Masonry Sewer i of joints. [] Blower door tgSt. [] Exterior Basement 1456 Sq. ft. Treated Wood [] Municipal ! ' air infiltration barrier. l-Story Other [] Septic lying Area 1456 Sq. ff. [] 2-Story Permit No. ! Envelope 30378 BTU/HR Garage 673 Sq. ft. [] Other ~ Seasonal infiltration 18935 BTU/HR Bi-level ~ Permanent [] Municipal Utility [] Plus Basement ~ Other [] Pdvate On-Site Well $120,000.00 The applicant agrees to comply with ail applicable codes, statues and ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability,_e~ress oj' impl, i~d, on the Departrpent or municipality; and certifies that all the above information is accurate. I Th'is permit is issued pursuant to the following conditions. Failure to comply may result in suspension or APPROVAL CONDmONS ~ revocation ofthispermitorother penalty SEE "STANDARD CONDITIONS OF APPROVAL" SHEET [] Town [] Village [] City [] County L] state of: Municipality Number of Dwelling Location: CityOf Oshkosh 7 0 2 6 6 Plan Review $75.00 Construction HVAC Name JOHN ZAP, ATE inspection Electrical Wis. Permit Seal $30.00 Plumbing Date 9/16/03 Other Erosion Tota~ $105.00 292175 Cert. No. 70330 SBD-5823 (R. 07192) OSHKOSH ON THE WATER Job Address Name Address Subdivision Building Permit Number Number of Dwelling Units Fee Required PARKLAND DEDICATION FEE COLLECTION RECORD 2'10 FARMSTEAD LN Date 09/22/2003 STEVE ORT]Z 923 S MAiN ST Oshkosh WI 54901 North Park Estates Lot 75 Owner's Signature Inspector's Signature 0104330 I Number of Structures $100.00 Fee Paid Date