HomeMy WebLinkAbout0107080-Building
Wisconsin Department of Industry,
WISCONSIN UNIFORM Application No.
Labor and Human Relations
BUILDING PERMIT
0107080
Safety and Buildings Division
P.O. Box 2509
Parcel No.
APPLICATION
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
PERMIT REQUESTED üü ConstrHVAC
ElecPlbgOther:
üü Erosion
Owner's NameMailing AddressTelephone No.
DEL TRITT CONSTRUCTION LLC6228 CTY RD NPICKETTWI54964-0000
Contractor:
üü ConElecHVACPlbg
Mailing AddressTelephone No.
Lic/Cert #
DEL TRITT CONSTRUCTION LLC6228 COUNTY RD NWI9533
665731 PICKETT54964-589-4209
Contractor:Mailing AddressTelephone No.
Con üü ElecHVACPlbg
Lic/Cert #
CUMINGS ELECTRIC INCWI749
170792 PO BOX 749NEENAH54957-920-722-1240
Contractor:Mailing AddressTelephone No.
ConElec üü HVAC
Plbg
Lic/Cert #
4264 WINNECONNEWI54986920-582-4402
MCM AIR INC6122 COUNTY ROAD M-9780
Contractor:Mailing AddressTelephone No.
Con
ElecHVAC üü Plbg
Lic/Cert #
UNKNOWNOshkosh54901-0
WI
Lot Area
PROJECT LOCATION
1/4,1/4,Section,TN,RE(or)W
Sq. ft.
Building AddressSubdivision NameLot No.Block No.
360 FOSTER ST21
FOSTER HEIGHTS
Zoning District(s)Zoning Permit No.FrontRearLeftRight
Setbacksft.ft.ft.ft.
1. PROJECT3. OCCUPANCY6. ELECTRICAL9. HVAC EQUIPMENT12. ENERGY SOURCE
üü New üü Forced Air Furnace
Nat.L.P.OilElec.SolidSolar
üü Single Family
Entrance Panel
Repair
Fuel
Gas
*
Two FamilyRadiant Baseboard or Panel
amp
Alteration
200
Size:
Raze
Garage üü
Space Htg
Service:
Heat Pump
Addition
Move
Other (print):Overhead
üü
Water Htg
Boiler
üü Underground
Other: üü Central Air Conditioning
*Dwelling unit will have 3 kilowatt or
4. CONST. TYPE7. FOUNDATION
Other
more installed electric space heating equip.
Concrete
2. AREA INVOLVED
üü Site Constructed
10. PLUMBING
Infiltration control option is:Full sealing
Masonry
Manufactured
Unfinished
Sewer
of joints.Blower door test.Exterior
Treated Wood
Basement1600Sq. ft.
air infiltration barrier.
üü Municipal
5. STORIES
Other
13. HEAT LOSS (Calculated)
üü 1-Story
Septic
Living Area1600Sq. ft.
8. USE
27816
EnvelopeBTU/HR
Permit No.
2-Story
540
GarageSq. ft.
Seasonal
19547
InfiltrationBTU/HR
Other
11. WATER
üü Permanent
14. EST. BUILDING COST
üü Municipal Utility
Other
$139,000.00
Plus BasementPrivate On-Site Well
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
State of:
TownVillage üü CityCounty
Municipality Number of Dwelling Location:
ISSUING
7 0 - 2 6 6
City Of Oshkosh
JURISDICTION
PERMIT(S)WIS. UNIFORM PERMIT
FEES:PERMIT ISSUED BY:
ISSUEDSEAL NO.
üü Construction
Plan Review$75.00
JOHN ZARATE
Name
HVAC
Inspection
Electrical
Wis. Permit Seal$30.00
3/23/04
Plumbing
Date
üü Erosion
Other
70330
Cert. No.
306845
$105.00
Total
SBD-5823 (R. 07/92)
PARKLAND DEDICATION FEE COLLECTION RECORD
OSHKOSH
ON THE WATER
Job Address 360 FOSTER STDate03/26/2004
NameDEL TRITT CONSTRUCTION LLC
Address6228 CTY RD NPICKETTWI54964
SubdivisionFOSTER HEIGHTSLot21
Building Permit Number0107080
Number of Dwelling Units1Number of Structures1
Fee Required$200.00Fee Paid
Owner's SignatureDate
Inspector's SignatureDate