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Home My WebLink About0101709 BOSHKOSH ON THE WATER .lob Address 1470 NORMAN WAY Designer CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner JEREMY&ANNEMARIEBIRSCHBACH Contractor OWNER Category 110 - New Single Family No 0101709 Create Date 05/15/2003 Plan E1-061-0503R Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze Zoning R-1 Class of Const: 8 Size Irrg Unfinished/Basement 1719 Sq. Ft. Rooms 7 Height 0 Ft. ~J Projection Finished/Living 1719 Sq. Ft. Bedrooms 3 Stories 1 Canopies Garage 534 Sq. Ft. Baths 2 Signs Foundation O Poured Concrete (~) Floating Slab (~) Pier (~) Other (~) Concrete Block (~) Post (~) Treated Wood Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 1 # Structures 1 Use/Nature of Work NSFR/ New single family 1 story with 2 car attached garage. NO DECK OR PATIO (any patio or deck that is constructed in the future will require a seperate permit). A drainage easement extends across the entire rear yard 10' wide. Driveway will be 23' wide. HVAC Contractor Electric Contractor Fees: Valuation Issued By: ANDRESEN SHEET METAL J.A.W.S. ELECTRIC Plumbing Contractor RASMUSSEN PLUMBING $109,774.00 Plan Approval $75.00 Permit Fee Paid $410.00 Park Dedication $100.00 Date 05/22/2003 Final/O.P. 00/00/0000 Permit Voided In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Oshkosh Address 104 W 23RD AVE WI 54902 - 0000 Telephone Number 236-8935/740-3997C OSHKOSH ON THE WATER Name JEREMY&ANNEMARIEBIRSCHBACH GRADE STAKE FORM Address 1470 NORMAN WAY Lot 250 Block Subdivision 5TH ADD'T WESTLEIGH FAR[~ Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 05/19/2003 Set By Grade Stake Number 6952 Create Date 05/19/2003 Ward Sidewalk Existing 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. OSHKOSH ON THE WATER .lob Address 1470 NORMAN WAY Name JEREMY & ANNE MARIE BIRSCHBACH Address 104 W 23RD AVE Subdivision 5TH ADD'T WESTLEIGH FARIV Building Permit Number 0101709 Number of Dwelling Units 1 Fee Required $100.00 PARKLAND DEDICATION FEE COLLECTION RECORD Date 05/22/2003 Oshkosh WI 54902 Lot 250 Number of Structures Fee Paid Owner's Signature Inspector's Signature Date Date Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0101709 P.O. Box 2509 APPLICATION Parcel No. Madison, WI 53701-2509 Wisconsin Statues 101.63, 101.73 [] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other: Owner's Name Mailing Address Telephone No. JEREMY & ANNE MARIE BIRSCHBJ 104 W 23RD AVE Oshkosh WI 54902 - 0000 236-8935/740-31 Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No. OWNER Oshkosh WI 54901 - 0 Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No. J.A.W.S. ELECTRIC 648951 PO BOX 22 VAN DYNE WI 54979 - 22 (920) 688-2477 Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No. ANDRESEN SHEET METAL 15585 2913 WITZEL AVE OSHKOSH W 54904 - 6539 (920) 233-0323 Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No. RASMUSSEN PLUMBING 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 920-233-6747 I Lot Area Sq. ft. 1/4, 1/4, Section , T N, R E(or)W Building Address Subdivision Name Lot No. Block No. 1470 NORMAN WAY 5TH ADD'T WESTLEIGH FARM 250 Zoning District(s) lZoning Permit No. Front Rear Left Right J __Setbacks ft ......... _f_t_: ft ft , .............................. L~J New [] Repair [] Single Family Entrance Panel L~J Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola [] Alteration [] Raze [] Two Family Size: 200 amp [] Radiant Baseboard or Panel Gas , [] Addition [] Garage Service: [] Heat Pump Space Htg [] [] [] [] [] [] [] Move [] Other (print): [] Overhead [] Boiler Water Htg [] [] [] [] [] [] [] Other: [] Underground [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or ] 8~l~,lS~ ~Y~E ~ f~OND~ION [] Other = more installed electric space heating equip. [] Site Constructed · Concrete - Infiltration control option is: [] Full sealing Unfinished [] Manufactured · Masonry Sewer of joints. [] Blower door test. [] Exterior Basement 1719 Sq. ft. S 8~IES · Treated Wood [] Municipal air infiltration barrier. Living Area 1719 Sq. ft. [] 1-Story · Other [] Septic [] 2-Story Permit No. Envelope 31865 BTU/HR Garage 534 Sq. ft. [] Other [] Seasonal Infiltration 22356 BTU/HR [] Permanent [] Municipal Utility [] Plus Basement [] Other [] Private On-Site Well $154,775.00 The applicant agrees to comply with all applicable codes, statues and ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, express or implied, on the Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE DATE SIGNED This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or APPROVAL CONDITIONS revocation of this permit or other penalty SEE "STANDARD CONDITIONS OF APPROVAL SHEET" [] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location: ~ll~BIB~lOl~,i City Of Oshkosh 7 0 - 2 6 6 ~IS UN!EORIVl ~ERMI~ ~ERIVlI~ iSSUED B~ ~SS=E= SE~ Ne ~ Construction Plan Review $75.00 _ HVAC Name JOHN Z. ARATE Inspection Electrical Wis. Permit Seal $30.00 [] Plumbing Date 05/19/2003 Other [] Erosion Total $105.00 · 292143 Cert. No. 70330 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER ,Job Address 1470 NORMAN WAY Designer CITY OF OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD Owner JEREMY & ANNE MARIE BIRSCHBACH Contractor OWNER Category 110 - New Single Family Type O Building Sign (~) Canopy O Fence O Raze No 0101709 Create Date 05/15/2003 Plan E1-061-0503R Zoning R-1 Unfinished/Basement Finished/Living Garage Foundation Occupancy Permit Park Dedication Class of Const: 8 1719 Sq. Ft. Rooms 7 Height 1719 Sq. Ft. Bedrooms 3 Stories 1 534 Sq. Ft. Baths 2 Poured Concrete (~ Floating Slab ~) Pier (~ Other Concrete Block (~ Post (~) Treated Wood Required Flood Plain No Required # Dwelling Units 1 0 Ft. Size Irrg [] Projection Canopies 0 Signs 0 Height Permit Not Required # Structures 1 Use/Nature of Work NSFR/ New single family 1 story with 2 car attached garage. NO DECK OR PATIO (any patio or deck that is constructed in the future will Irequire a seperate permit). drainage easement extends across the entire rear yard 10' wide. IDriveway will be 23' wide. HVAC Contractor ANDRESEN SHEET METAL Electric Contractor J.A.W.S. ELECTRIC Fees: Valuation $1.09,774.00 Plan Approval Issued By: .~ (~ Plumbing Contractor RASMUSSEN PLUMBING $75.00 Permit Fee Paid [] Permit Voided J $410.00 Park Dedication $100.00 Date 05/22/2003 Final/O.P. 00/00/0000 in the performance of thi¢ work I agree to perform all work pursuant to rules governing the described construction. Signature ~' ~% 'i.; ~:* ~ Date Agent/Owner Address 104 W 23RD AVE Oshkosh WI 54902 - 0000 Telephone Number 236-8935/740-3997£ OSHKOSH ON THE WATER Job Address 1470 NORMAN WAY Name JEREMY & ANNE MARIE BIRSCHBACH Address 104 W 23RD AVE Subdivision 5TH ADD'T WESTLEIGH FARI~ Building Permit Number 0101709 Number of Dwelling Units 1 Fee Required $100.00 Owner's Signature ~" ~; Inspector's Signature PARKLAND DEDICATION FEE COLLECTION RECORD Date 05/22/2003 Oshkosh WI 54902 Lot 250 Number of Structures Fee Paid Date OSHKOSH ON THE WATER Name JEREMY & ANNE MARIE BIRSCHBACH Lot 250 Subdivision 5TH ADD'T WESTLEIGH FARI Street Number Building Grade Elevation Stakes Set At Site GRADE STAKE FORM Address Block Zone Lot Dimensions 05/19/2003 Set By 1470 NORMAN WAY Grade Stake Number 6952 Create Date 05/19/2003 Ward L~_ Sidewalk Existing 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. · ~ ~ Wisconsin 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 [] Constr Owner's Name .............................................. JEREMY & ANNE MARIE BIRSCHB Contractor: [_~ ConE~ Elec[] HVAC ~ Plbg Lic/Cert# )WNER Contractor: [~ Con L~J Elec ~j HVACL_j Plbg Lic/Cert # J.A.W.S. ELECTRIC 648951 Contractor: L_J Con L._J ElecL~J HVAC [] PlbglLic/Cert # &NDRESEN SHEET METAL i15585 Contractor:l ~ Con [] Elec[~ HVAC~] Plbg ILic/Cert# RASMUSSEN PLUMBING Lot Area Sq. ft. Building Address 1470 NORMAN WAY WISCONSIN UNIFORM BUILDING PERMIT APPLICATION Application No. I_tt 09 IParce~ No. [] HVAC [] Elec [] Plbg [] Erosion [] Other: Mailing Address 104 W 23RD AVE Oshkosh WI 54902 - 0000 Mailing Address Oshkosh WI 54901 - 0 Mailing Address PO BOX 22 VAN DYNE WI 54979 - 22 Mailing Address 2913 WlTZEL AVE Telephone No. 236-8935/740-; Telephone No. Telephone No. (920) 688-2477 Telephone No. OSHKOSH WI 54904 - 6539 (920) 233-0323 Mailing Address Telephone No. 1914 GREENBRIARTRL OSHKOSH WI 54904 -8887 920-233-6747 1/4, 1/4,Section ,T N,R E(or)W Subdivision Name Lot No. Block No. 5TH ADD"T WESTLEIGH FARM 250 District(s) Permit No. Front Rear Left Right New [] Repair Single Family [] Alteration [] Raze Two Family Garage [] Addition [] Move [] Other (print): [] Other: ~~ [] Site Constructed Unfinished [] Manufactured Basement 1719 Sq. ft. ~ Living Area 1719 Sq. ft. ~'[]'"';~§'~" ................................... [] 2-Story Garage 534 Sq. ft. [] Other [] Plus Basement Entrance Panel Size: 200 am Service: [] Overhead [] Underground te [] Masonry [] Treated Wood ~ Other [] Seasonal [] Permanent [] Other Forced Air Furnace [] Radiant Baseboard or Panel [] Heat Pump [] Boiler [] Central Air Conditioning Sewer [] Municipal [] Septic Permit No. [] Municipal Utility [] Private On-Site Well Fuel Space Htg Water Htg * [_J Dwelling unit will have 3 kilowatt or more installed electric space heating equip. InfiltratiOn control option is: [] Full sealing of joints. [] Blower door test. [] Exterior air infiltration barder. ,~ Envelope 31865 BTU/HR Infiltration 22356 BTU/HR $154,775.00 The applicant agrees to comply with all applicable codes, statues and ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, expres~lied, on the Department or municipality; and certifies that all the above information is accurate. APPLICANT S SIGNATURE ~/ ----~ DATE SIGNED X_ ~'~--,~ ,'~ -r~ -~ APPROVAL CONDITIONS This permit is issued pursuant to the foilowing conditions. Failure to comply may result in suspension or revocation of this permit or other penalty SEE "STANDARD CONDITIONS OF APPROVAL SHEET" []Town [] Village [] City [] County L_.J State of: City Of Oshkosh Municipality Number of Dwelling Location: 7 0 2 6 6 Plan Review $75.00 Construction HVAC Name JOHN ZARATE Inspection Electrical Wis. Permit Seal $30.00 [] Plumbing Date 05/19/2003 Other [] Erosion Total $105.00 [] 292143 Cert. No. 70330 SBD-5823 (R. 07/92)