HomeMy WebLinkAbout0110723 BOSHKOSH
ON THE WATER
.lob Address 920 MOUNT VERNON ST
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner WACHOVIA BANK NA
Contractor D & J QUALITY CONSTRUCTION
Category 110 - New Single Family
No 110723
Create Date 09/22/2004
Plan F1-097-0904R
Type IO Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning R-2 Class of Const: 8 Size IRRG
Unfinished/Basement 1380 Sq. Ft. Rooms 6 Height 19 Ft. ~J Projection J
Finished/Living 1380 Sq. Ft. Bedrooms 3 Stories 1 Canopies 0
Garage 528 Sq. Ft. Baths 2 Signs 0
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 Not Required # Dwelling Units 1 # Structures 1
Use/Nature NSFR/ Constructing a new 1 story single family, 2 car attached garage. No deck or patio. Driveway will be 22' wide.
of Work
HVAC Contractor MCM AIR INC
Electric Contractor ZIMMER ELECTRIC LLC
Fees: Valuation $99,000.00 Plan Approval
Issued By:
Plumbing Contractor O'NEILL ENTERPRISE INC
$75.00 Permit Fee Paid
Permit Voided
$408.00 Park Dedication $0.00
Date 09/23/2004 Final/O.P. 00/00/0000
Parcel Id # 1002440000
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
Agent/Owner
Address 2415 HICKORY LN OSHKOSH WI 54901 - 0000 Telephone Number
232-0538
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 WACHOVIA BANK NA
GRADE STAKE FORM
Address 920 MOUNT VERNON ST
Lot Block
Subdivision Zone
Street Number 920 Mount Vernon Lot Dimensions
Building Grade Elevation Stakes Set At Site 09/22/2004 Set By
Grade Stake Number 7203
Create Date 09/22/2004
Ward
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 0110723
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.
WACHOVlA BANK NA 3476 STATEVlEW BLVD FORT MILL SC 29715 - 0000
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
D & J QUALITY CONSTRUCTION 666726 2415 HICKORY LN OSHKOSH WI 54901 - 0 232-0538
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
ZIMMER ELECTRIC LLC 637881 400 E SCOTT ST OMRO WI 54963 - 0 920-685-2387
Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
MCM AIR INC 4264 6122 COUNTY ROAD M WINNECONNfW 54986 - 9780 920-582-4402
Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No.
O'NEILL ENTERPRISE INC 225344 .5575 CTY RD N PICKETT WI 54964 - 0 920-428-4700
Lot Area Sq. ft. 1/4, 1/4, Section ,T N ,R E (or)W
Building Address Subdivision Name Lot No. Block No.
920 MOUNT VERNON ST
Zoning District(s) Zoning Permit No. Front Rear Left Right
Setbacks ft. ft. ft ft.
L~J New [] Repair [] Single Family Entrance Panel L~J Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Solar
[] Alteration [] Raze [] Two Family Size: 200 amp [] Radiant Baseboard or Panel Gas ,
[] Addition [] Garage Service: [] Heat Pump Space Htg [] [] [] [] [] []
[] Move [] Other (print): [] Overhead
[] Boiler Water Htg [] [] [] [] [] []
[] Underground
[] Other: [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or
[] 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 1380 Sq. ft. ~ ~ ~Ri~ <~ Treated Wood [] Municipal air infiltration barrier.
Other
Living Area 1380 Sq. ft. [] 1-Story [] Septic
Garage 528 Sq. ft. [] 2-Story x8 ~ ~[] Seasonal
Permit No. Envelope 23748 BTU/HR
[] Other Infiltration 16903 BTU/HR
[] Permanent [] Municipal Utility .~ ~ ~i ~i1~,1~ ~
[] Plus Basement [] Other [] Private On-Site Well $119,000.00
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" SHEET
[] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 2 6 6
,/ Construction
Plan Review $75.00 _
HVAC Name JOHN ZARATE
Inspection
Electrical
Wis. Permit Seal $30.00
Plumbing
Date
9/22/2004
Other [] Erosion
Total $105.00 · 306868 Cert. No. 70330
SBD-5823 (R. 07/92)
" ~34.0'
.... ~ ' ~s.o'
DISCLAIMER
~is map is nei~er I I~ally ~rd~ map nor
~,.~.~.,,.-,.-~,-~.,~..~. 920 Mt. Vernon St.
~ls draw~g ~ a com~lation of r~ords, da~
and Information ~at~ in var~us eib, ~un~
pur~,, only. The City of ~hk.h B not re- ~0~;~' ~eve'o-men'