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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