HomeMy WebLinkAbout0102510-BuildingOSHKOSH
ON THE WATER
Job Address 4610 SHAMBEAU DR
110 - New Single Family
Designer
Category
Type · Building
Zoning R-1 Class of Const: 8
Unfinished/Basement 1774 Sq. Ft. Rooms 3
Finished/Living 1774 Sq. Ft. Bedrooms 3
Garage 859 Sq. Ft. Baths 3
Foundation · Poured Concrete (~ Floating Slab (~ Pier (~) Other
O Concrete Block (~) Post (~) Treated Wood
Occupancy Permit Required Flood Plain No
Park Dedication Required # Dwelling Units 1
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner MARTIN & CAROLYN DARGEVICS Create Date
Contractor HOMES BY BILL ROUNDS LLC
(~)Sign (~)Canopy (~Fence (~ Raze
Height
Stories I
21 Ft.
No 0102510
06/25/2003
Plan E1-078-0603R
Size iRR
[] Pr~e~ion ~
Canopies
Signs
Height Permit Not Required
# Structures 1
Use/Nature NSFR/1 story ranch home with a 2.5 car attached garage, 22' wide concrete driveway, NO DECK OR PATIO.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~'/~
UNKNOWN???
SCHMIDT ELEOTRIO
$140,700,00 Plan Approval
Plumbing Contractor COMPLETE PLUMBING INC
$75.00 Permit Fee Paid $503.00 Park Dedication $100.00
Date 06/30/2003 Final/O.P. 00/00/0000
[] Permit Voided
In the per~or[n~anc¢ of this work I agr~ee to perform all work pursuant to rules governing the described construction.
Signature ~(~,~///..__..------~¢//- ~ Date
735-1782
Agenf¢Owner
Address 1410 w BRECKENRIDGE CT APPLETON WI 54914 - 0000 Telephone Number
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Name MARTIN & CAROLYN DARGEVICS Address 4610 SHAMBEAU DR
Lot 15 Block
Subdivision Island View Estates Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 06/26/2003 Set By D.W.G. BK - 568, P - 2
Grade Stake Number 6968
Create Date 06/25/2003
L._]_ Sidewalk Existing J
Ward
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. I /I/ ~ , ,, _ ~
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
Owner's Name
MARTIN & CAROLYN DARGEVICS
Contractor:'~ Con[~ Elec~[~ HVAC ~ Plbg
HOMES BY BILL ROUNDS LLC
Contractor: [~J Con L~ Elec ~j HVACL~ Plbg
SCHMIDT ELECTRIC
Contractor: L~ Con L~ Elecb~j HVAC [] PIb.~
JNKNOWN???
Contractor:~ Con LJ ElecL~ HVACL~j Plbg
COMPLETE PLUMBING INC
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Building Address
4610 SHAMBEAU DR
Application No.
lo
NO.
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Mailing Address Telephone No.
4610 SHAMBEAU DR OSHKOSH WI 54902 - 0000
Lic/Cert # Mailing Address Telephone No,
9067 1410 W BRECKENRIDGE CT APPLETON WI 54914 - 0 735-1782
Lic/Cert #
Lic/Cert #
LicJCert #
224759
Mailing Address
838 MOAS- wrong address
LITTLE CHUTI WI 54140 - 0
Mailing Address
Oshkosh WI 54901 - 0
Mailing Address
1197 RACINE ST MENASHA WI 54952 -0
Telephone No.
788-9381
Telephone No.
Telephone No.
920-720-5390
Sq. ff
1/4, 1/4,Section ,T N,R E(or)W
Subdivision Name Lot No. Block No.
Island View Estates 16
Zoning District(s) Zoning Permit No. Front Rear Left Right
New [] Repair Single Family Entrance Panel Forced Air Furnace
,[]Alteration []Raze Two Family Size: [~ Radiant Baseboard or Pan Fuel
I[]
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 electric s
Site Constructed Concrete Infiltration control option is: [] Full sealing
Unfinished Manufactured Masonry Sewer ofjointa. [] Blower door test. [] Exterior
Basement 1774 Sq. ff. Treated Wood [] Municipal air infiltration barrier.
Other
Living Area 1774 Sq. ft. 1 -Story Septic
[] 2-Story Envelope 38348 BTU/HR
Garage 659 Sq. ft. [] Other [] Seasonal Infiltration 24428 BTU/HR
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Pdvate On-Sita Well $193.900.00
The applicant agrees to comply with all a~licable codes, statues and ordinances and with the conditions of this permit, understands that the issuance of
/
,=..~,~,,,~,, .~..T~` I,: ..p~ [~m.i ,~l~St~s~ u''e''d' ~p ~u+r s''u' a''n*~t ~0', ,,o ~,o, ,,,,, ,~, ,~,, ,o. ~.., ,o,,~. ~. ,~0~l,.0wing conditions. Failure to comply may result in suspension or
APPROVAL
CONDITIONS
see standard conditions of approval
Town [] Village [] City [] County b~ state of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 2 6 6
Plan Review $75.00
inspection
Wis. Permit Seal $30.00
Other
Total $105.00
SBD-5823 (R. 07/92)
Construction
HVAC Name Nicole Krahn
Electrical
Plumbing Date 6/25/03
Erosion
292205 Cert. No. 248101
OSHKOSH
ON THE WATER
Job Address
Name
Address
Subdivision
PARKLAND DEDICATION FEE COLLECTION RECORD
4610 SHAMBEAU DR
MARTIN & CAROLYN DARGEVICS
4610 SHAMBEAU DR
Island View Estates
OSHKOSH
Building Permit Number 0102510
Number of Dwelling Units 1
Fee Required $100.00
Owner's Signature
Inspector's Signature
Lot 15
Date 06/30/2003
WI 54902
Number of Structures
Fee Paid
Date ~' ~ ~ ~.
Date
Project Address
CITYOF OSHKOSH
CONDITIONS OF APPROVAL ...............
Please'read the following ~fo~a~isff'aiicl~igri"~i~'~-~l~ffoiii¥6 h~C?l-e~l~ili~(~b~"~v~f~fiff
and agree to comply With these Conditions.
1 All habitable rooms mbs, be provided With 8% i[~t and 3.5% ventilation. Bedrooms
located 0nhhe ~0hd flo63 or l~elow g3oUhd lewl' must be provided With e~ress ~ndowg
in addition to the light and ventilation requirements. Basement Windows are also
required to have Window well ~ehs fn'a~Cordan~e With IEHR'21.0Ji
2. Garage spaces shall be separated from the dwelling 1.08.
The door and frame assembly between the dwelling unit and an attached garage shall be
labeled by an indePend~nt testin~ agency as having a minimum fire-resistive rating of 20
minutes. All drywall joints are required to be taped/sealed unless the joints are fitted so
that the gap is no more than a dimes thickness (1/20-inch) and ba~ked by solid wood or
drywall With the joints staggered.
3. All penetrations in exterior walls must be sealed prior to the insulation inspection. This
includes holes in the top and bottom plates, gaps around heating ducts, and holes in the
return air spaces.
4. Smoke detectors are required on every floor and within 6' of all bedrooms. The smoke
deteciors a~ required to be hardwired and interconnected.
5. Hydromassage tubs are required t~ hive an h~cess panel to motor. The access panel must
be accessible Without removing the fii/i~Ii-Of the house.
All overframing must be designed by the truss manufacturer, according to standards set
by the truss plate institute, qr.s~ru~t~,c~lcu,!a~!9ns mu:s~t be provided prior to the rough
building inspection.
Truss plans must be submitted and'hiSi~fo~/ed Prior to framing'th~ rbof:
Truss plans includin~ the tress layout must be provided on site at the rough building
inspection. In addition to the truss plans, mierolam calculations must be i~r0vided on site
at the rough building inspection for all microlams with point loads on them
Calculations must be provided for all cantilevered floors with point loads. Floor trusses
and TJI's must be designed for the cantilevered areas.
10.
The property owner and applicant is responsible for compliance with ILHR 21.125
(Erosion Control). When installing access drives, a minimum of 2"-3" diameter stone is
required in addition to a minim~n of 6" depth, 30'-50' length, and 14'-2ff width. Erosion
control measures must be mainj,~t~i'~fied up4i[lh~lav~ i~.es/ab]ishe,~ 'J ~
11.
All storm sewer inlets must be protected with approved erosion control devices. Tracking
(i.e. sediment) must be removed from the street at the end of each workday. Repair any
siltation or erosion damage to adjoining surfaces and drainageways resulting from land
development or disturbing activities.
12.
The building placard must be posted on site at all times. Once the rough framing is up
the placard must [5~ pdsi6d'~sh the patio doo~ 0r0n a kitchen Window. If the placard is not
present at any inspection, stop work oiders will be posted. Additional placards can be
obtained through our department if the cards are misplaced.
13.
Ali mechanicals must be roughed-in prior to requesting the rough building ~nspection. If
on the inspection the mechanicals are not roughed in, the inspection will fail and a $100
re-inspection fee will b~ ~hkrged.
14.
Attached is a copy of the final inspection checklist. At the final inspection all items on
this list must be completed to avoid the $100 re-inspection fee per inspection.
15.
When requesting final inspections please n6te that a minimum of 2 days notice is needed
from the time the inspection is ready. Furniture is only allowed to be placed in the center
of the garage floor and a minimum of a 3' pathway must be provided around the walls of
the garage. At the final inspection no furniture or personal belongings are allowed in the
house. Appliances such as the stove, refrigerator, washer, and dryer are not to be set in
place due to the electrical inspector needing to look at the power serving the appliances.
A 6' stepladder must be on site at the final inspection to provide access to the attic.
16.
occupancy is approved. Occupancy is not allowed prior to the placard having all of the
final inspection approved stickers on the backside. If occupancy occurs prior to the
inspections being ap~m;v~t 3~i~ ~ihd0fi~'¢)iii' b~ i~sfied with no further notice being
given.
17. All site grading must be done in accordance with the approved drainage plan on file in the
public works office, 3~d floor.
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