HomeMy WebLinkAbout0105865-BuildingOSHKOSH
ON THE WATER
.lob .Address 3895 SHORE BIRD CT
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner MIKE DAVIS CONSTRUCTION
Contractor DAVIS CONCRETE CONSTRUCTION
Category 110 - New Single Family
No 105865
Create Date 12/11/2003
Plan E1-157-1203R
Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning R-1 Class of Const: 8 Size IRR
Unfinished/Basement 1317 Sq. Ft. Rooms 0 Height 0 Ft. ~J Projection
Finished/Living 3630 Sq. Ft. Bedrooms 0 Stories 2 Canopies
Garage 748 Sq. Ft. Baths 0 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 NSFR/2 story home with a 3 car attached garage, 15'X15' rear patio.
of Work
HVAC Contractor BREWER HEATING Plumbing Contractor COMPLETE PLUMBING INC
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $283,500.00 Plan Approval $75.00 Permit Fee Paid $932.00 Park Dedication $200.00
Issued By: Date 12/29/2003 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.
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.
Signature Date
Address 2740 LEILA MAE LN
Agent/Owner
OSHKOSH
WI 54902 - 0000 Telephone Number
426-3339 426-1609 I
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 JAMES C/LORI A MICHAL III
GRADE STAKE FORM
Address 2351 SHORE PRESERVE DR
Lot 34 Block
Subdivision North Shore Preserve Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 12/16/2003 Set By
Grade Stake Number 7079
Create Date 12/15/2003
Ward
D.W.G. BK-593, P-24
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, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT o1o5865
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.
MIKE DAVIS CONSTRUCTION Oshkosh WI 54901 - 0000
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
DAVIS CONCRETE CONSTRUCTION 254873 2740 LEILA MAE LN OSHKOSH WI 54902 - 0 426-3339 426-1
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
CUMINGS ELECTRIC INC 170792 PO BOX749 NEENAH WI 54957 - 749 920-722-1240
Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
BREWER HEATING 4220 N8804 N DOUGLAS ST RIPON W 54971 - 0 920-748-6494
Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No.
COMPLETE PLUMBING INC 224759 1197 RACINE ST MENASHA WI 54952 - 0 920-720-5390
I Lot Area Sq. ft. 1/4, 1/4, Section , T N, R E(or)W
Building Address Subdivision Name Lot No. Block No.
3895 SHORE BIRD CT North Shore Preserve 34
Zoning District(s) lZoning Permit No. Front Rear Left Right
J __Setbacks ft ......... _f_t_: ft ft
, .,.,~= ~=u~E, --~ ~r~-,, ~ ..............................
L~J New [] Repair [] Single Family Entrance Panel · Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola
[] Alteration [] Raze [] Two Family Size: 0 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~Ol'dD~lOl'd [] 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 1317 Sq. ft. S 8~IES · Treated Wood [] Municipal air infiltration barrier.
Living Area 3630 Sq. ft. [] 1-Story · Other [] Septic
[] 2-Story Permit No. Envelope 85800 BTU/HR
Garage 746 Sq. ft. [] Other [] Seasonal Infiltration 31919 BTU/HR
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $360,000.00
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
[] 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 Nicole Krahn
Inspection
Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 12/11/03
Other [] Erosion
Total $105.00 · 292244 Cert. No. 248101
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
.lob Address 3895 SHORE BIRD CT
Name MIKE DAVIS CONSTRUCTION
Address
Subdivision North Shore Preserve
Building Permit Number 0105865
Number of Dwelling Units
Fee Required
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 12/29/2003
Oshkosh WI 54901
Lot 34
1 Number of Structures
$200.00 Fee Paid
Owner's Signature
Inspector's Signature
Date
Date
ZONING/LAND USE COMPUANCE CHECKIJST
JOB LOCATION: ~_~-~-o~ ~-~c~_~ ~:)~-~'~ ~-~
CONS~UCTION DATA: ~ New Cons~on
~PE OF CONS~UC~ON: O.e. fen~, pool, pa~ng lot, sign, e~.)
Addition
ZONING ......
Alteration
COMPLIANCE CHECKLIST
· DEFICIENT
Use
Lot Width
Lot Area
Lot Area Per Family
Floodplain
Front Yard
· Front Yard Side Street
Rear Yard
Side Yards
Building Area
Parking Standards
Off-Street Loading Standards
Vision Clearance
Transitional Yard Standards
Landscape Standards
Height
Conditions of Approval
Compliance with P.C. or
BZA Conditions of Approval
' Signage Standards
Drainage Plan
'COMMENTS
REVIEW AUTHORITY
As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or
designee, must approval all plans, except the following: (1) Alterations or interior work when the use is
conforming and when no change in use is proposed. (2) Maintenance items, e.g. siding, windows, etc.,
when the use is conforming and when no change is proposed.
~ APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: /~~..~
DAV/~ CONC,, ~t CON~T',
I