HomeMy WebLinkAbout0102015 BOSHKOSH
ON THE WATER
.lob.Address 3084 LAKE REST LN
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner B MICHAEL SAMMONS ETAL
Contractor OWNER
Category 111 - Single Family Addition
No 0102015
Create Date 02/26/2003
Plan
Type [(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning r-1 Class of Const: 8 Size 14'x24'
Unfinished/Basement 0 Sq. Ft. Rooms 1 Height 0 Ft. ~J Projection
Finished/Living 338 Sq. Ft. Bedrooms 1 Stories 1 Canopies
Garage 0 Sq. Ft. Baths 1 Signs
Foundation O Poured Concrete (~ Floating Slab (~ Pier (~ Other
(~ Concrete Block (~ Post (~ Treated Wood
Occupancy Permit Required Flood Plain Yes Height Permit Not Required
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature
of Work
SFR/Constructing a 14'x24' addition onto the existing house per the variance approved on 4/9/03. The addition will include a bathroom,
bedroom, and closet. The addition will be a minimum of 2' above the flood level. NOTE: A condition was placed on the variance approval (The
Flood plain fill radius is required to be provided around the addition at a maximum distance, not to exceed 15', and where the fill radius is sloped
down to match the existing grade, a 1:3 pitch.
HVAC Contractor OWNER
Electric Contractor HOMEOWNER
Fees: Valuation $20,000.00 Plan Approval
Issued By:
Plumbing Contractor HOMEOWNER
$40.00 Permit Fee Paid
$95.00 Park Dedication $0.00
Date 08/08/2003 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
Address Oshkosh WI 54901 - 0000 Telephone Number
OSHKOSH
ON THE WATER
Job Address 3084 LAKE REST LN
Designer
Category 111 - Single Family Addition
Type · Building (~) Sign
Zoning r-1
Unfinished/Basement 0 Sq. Fl. Rooms
Finished/Living 336 Sq. Ft. Bedrooms __
Garage 0 Sq. Ft. Baths
· Poured Concrete (~ Floating Slab
(~ Concrete Block O Post
Required
Foundation
Occupancy Permit
Park Dedication
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner B MICHAEL SAMMONS ETAL Create Date
Contractor OWNER
No 0102015
02/26/2003
Plan
Canopy (~ Fence O Raze
Class of Const: 8 Size 14'x24'
I Height 0 Ft. [] Projection
1 Stories I Canopies
I Signs
O Pier O Other
O Treated Wood
Flood Plain Yes Height Permit Not Required
# Dwelling Units 0 # Structures 0
Use/Nature
of Work
~FPJ Constructing a 14'x24' addition onto the existing house per the vadance approved on 4/9/03. The addition will include a bathroom,
)edroom, and closet. The addition will be a minimum of 2' above the flood level. NOTE: A condition was placed on the variance approval
The flood plain fill radius is required to be provided around the addition at a maximum distance, not to exceed 15', and where the fill
· adius is sloped down to match the existing grade, a 1:3 ptch.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
OWNER
HOMEOWNER
$20,000.00 Plan Approval
$40.00 Permit Fee Paid
[] Permit Voided
Plumbing Contractor HOMEOWNER
$95.00 Park Dedication $0.00
Date 06/06/2003 FinallO.P. 00/00/0000
In the perfo~ of this work~l agr~work pursuant to rules governing the described censtruCdon.
Signature{/~.~,¢~='~ ,~*,,,~,t,~~-~.. \ V~/~(',,,.~ Date
~ AgentJOwner
Address Oshkosh WI 54901 - 0000 Telephone Number
CITY OF OSHKOSH BUILDING PERMIT APPLICATION
For ] and 2 Family/]omes
Owner's Name Mailing Address Phone No.
B. Mike Samraons 1845 Walnut Street (920) 231-9880
Oshkosh, Wi 54901
Contractor's Name: Mailing Address Lic/Cert # Phone No.
Owner (
Plumbing Contractor's Name: Mailing Address Lic/Cert ~ Phone No.
owner
( )
Electrical Contractor's Name: Mailing Address Lic/Cert # Phone No.
Owner
(
HVAC Contractor's Name: Mailing Address Lic/Cert # Phone No.
Owner I ( )
PROJECT LOCATION
t Building A,~,ddress
380/~ Lake
Rest Lane / Subdivision Name
Setbacks: Front
ft.
Lot No.
Rear Left Right
ft. ft. fl.
QCCUPANCY
~ Single Family
C Two Family
72 Other
PROJECT INFORMATION
AREA ~ONST. TYPE
Unfinished Basement C'"~ sq.ft. ~ii'~Site Constructed
C Manufactured
Living Area [ ~'~k.z,- sq.fl.
USI~ Garage_ ~ sq.ft.
~SeasonaI
2 Permanent ] HEIGH~T
Z Other / Height of the Structure (from final grade
_of the roe0
ELECTRICAL PLUMBING
Panel Size:
~100 Amps Sewer
~Municipal
~7 200 Amps E Septic
Service: Permit No.
,~Underground
Ei Overhead
_HEAT LOSS
to the peak
.WATER
~t~24~ unicipal Utility
Private On-Site WelI
Envelope_
Infiltration
ENERGY SOURCE
Choices: ~L.P., Oil, Elec, Solid, Solar
Space Htg _
Water Htg ~Q_. ~O~Ct"'~ ~ ~k-%
BtM-Ir
Btu/Hr
APPLK'~GSA~
~OUNDATION
~oncrete -
Masonry
Treated Wood
Other
~TORIES_
l~'l-Story
~ 2-Story
,5 Bi-level
[] Tri-level
[] Quad-level
[] Other
_NUMBER O~
ROOMS
__Bat~ooms
Bedrooms
Fi~ Remaining
nished Rooms
BUILDING COST
Sale price of the Project
(Final cost of house, lot & labor~--~
MINUS
The Cost of the Lot
MINUS
The Cpst of the Mechanicals $
EQUALS =
The C6st of Construction
(Fair market value which includes labor) _
HVAC EQUIPMENT
il Forced Air Furnace
RadiCnt Baseboard or Panel
Heat Pump
,~oiter
Centra Air Conditioning
Other