HomeMy WebLinkAbout0157265-Building � CITY OF OSHKOSH No 157265
L.
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2318 SHORE PRESERVE DR Owner STEVE&TRACY ZANGL Create Date 08/06/2013
Designer Contractor GALLERY HOMES
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Inspector John Zarate
Category 110-New Single Family ___ Plan UDC-3851-0813
Type � Building _ � Sign � Canopy � Fence 0 Raze
Zoning R-1 Class of Const: 8
Size
Unfinished/Basement 1026 Sq.Ft. Rooms 4 Height 20 Ft. ❑ Projection !
Finished/Living 3420 Sq.Ft. Bedrooms 4 Stories 1 Canopies
Garage 1190 Sq.Ft. Baths 4 Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood -- ______ __ _ _ _
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain No Height Permit Not Required
Park Dedication Required #Dwelling Units 1 #Structures 1
Use/Nature NSFR/1 story home with a 3 car attached garage,no patio or deck is included in this permit. The basement is being finished to include I
of Work �bathroom,4th bedroom and a family room. i
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HVAC Contractor UNKNOWN??? Plumbing Contractor O'NEILL ENTERPRISES INC
Electric Contractor SCHOMMER ELECTRICAL CONTRACTING I
Fees: Valuation 250,000.00 Plan Approval $75.00 Permit Fee Paid $1,089.48 Park Dedication $200.00
Issued By: Date 08/16/2013 Final/O.P. 00/00/0000
❑ Permit Voided � Parcel Id#
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 understand the afore mentioned information. � /� `l�
Signat Date
AgenUOwner
Address 5405 NICKELS DR OSHKOSH WI 54904 - 0000 Telephone Number 232-0059
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, W�SCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0157265
P.O.Box 2509 Parcel No.
N►adison,WI 53701-2509 APPLICATION
Wisconsin Statues 101.63, 101.73
�� ,;ERrVII�R o Q FS����� ❑ Constr � HVAC � Elec � Plbg �✓ Erosion ❑ Other.
Owners Name Mailing Address Telephone Na
STEVE 8�TRACY ZANGL Oshkosh WI 54901 - 0000
Contractor: ✓ Con Elec HVAC Plbg LiGCert# Mailing Address Telephone No.
GALLERY HOMES 663449 5405 NICKELS DR OSHKOSH WI 54904- 0 232-0059
Dwelling Contr.Qualifier liGCert# The Dwelling Contr.Qualifier shall be an owner,CEO,COB or employee of
James Robert Mathusek 663450 Dwelling Contr.
Contractor:� Con �✓ Elec� HVAC� Plbg Lic/Cert# 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.
UNKNOWN??? Oshkosh WI 54901 _ 0
Contractor. Con Elec HVAC ✓ Plbg LiGCert# Mailing Address Telephone No.
O'NEILL ENTERPRISES INC 225344M 522 W 6TH AVE OSHKOSH W� 54902- 5916 g20-230-2007
ROJ�C� °Q�G'��1T QCV ' LotArea
�a t - ��_, .. , S .ft. 1/4, 1/4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block Na
2318 SHORE PRESERVE DR Northshore Preserve 22
Zoning District(s) Zoning Permit No. Front Rear Left Right
�1�PROJECT _ �OCC PANG �_,.. 6�Et�EC1'RICAL°. �9:�HVAC,`:EQUIPMENT �.�-.'`, �f12:°ENERGY SOURCE ':�'� %/F`;�'�',��'�
✓ New � Repair ✓ Single Family Entrance Panel ✓ Forced Air Furnace Nat. L.P. Oil Elec. Solid Sola
❑ Alteration Two Family Size:200 am ❑ Radiant Baseboard or Panel Fuel Gas *
❑ Raze e Gara e
❑ Addition 9 Service: � Heat Pump Space Htg ❑ ❑ ❑ ❑ ❑ ❑
� Move � Other(print): � Overhead
�✓ Underground � Boiler Water Htg ❑ ❑ ❑ � � �
❑ Other. � Central Air Conditioning * Dwelling unit will have 3 kilowatt or
ONS. ?1fP OIJND��#O�!1 Other
✓ Concrete more installed electric space heating equip.
Z�`AREA�INVOL'\�ED �✓�Site Constructed � - �'' �:���o �
Mason ��O..PL'liMBiNG� � � r �� �nfikration control option is:❑ Full sealing
Unfinished ❑ Manufactured � ry Sewer of joints. ❑ Blower door test. ❑ Exterior
Basement 1026 Sq.ft. 5�S70RIE5 ❑ Treated Wood a Municipal air infiltration barrier.
Living Area 3420 Sq.ft. `� �-Story ❑ Other � Septic 1��3:HEAT�LOSS�Calculated � `�„�`,;�� �
USE:�
Garage »gp Sq ft ❑ 2-Story `' ° Permit No. Envelope 31533 BTU/HR
❑ Other ❑ Seasonal �����yyATER�? ��� , �' E infiltration 27415 BTU/HR
✓ Permanent
� �✓ Municipal Utility �14:EST.`BUILDING CQST- ;��' .;�`' �''.����
� Plus Basement ❑ Other � private On-Site Well 250000
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 municipality;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 regarding additional erosion control and stormwater management.I expressly grant the building inspector,or the inspector's authorized agent,
permission to enter the premises for which this permit is sought at all reasonable hours and for any proper purpose to inspect the work which is being done.
� I vouch that I am or will be an owner-occupant of this dwelling for which I am applying for an erosion control o�construction permit without a Dwelling
Contractor Certification and have read the cautio tatment regarding contractor responsibility on the Building Permit Application.
APPLICANT'S SIGNATURE DATE SIGNED �!�' �/,6—/ 3
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
see standard conditions of approval
S ❑ Town � Village �✓ City � County ❑ State of: Municipality Number of Dwelling Location:
URISD C§ (� City Of Oshkosh 7 0 - 2 6 6
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Plan Review $75.00 � Construction �
❑ HVAC Name Nicole Krahn
Inspection ----
� Electrical
Wis. Permit Seal $35.00 � plumbing Date 8/16/2013
Other � Erosion
Total $110.00 ❑ 430479 Cert.No. 248101 __
SBD-5823(R.07/92)