HomeMy WebLinkAbout2005-Building
e
OSHKOSH
ON THE WATER
Job Address 1531 WELLINGTON DR
CITY OF OSHKOSH
No
113465
BUILDING PERMIT - APPLICATION AND RECORD
Owner
STEVEN M/STACEY GREY
Create Date
04/13/2005
Designer
Contractor
O'BRIEN BUILDERS
Category
140 - Interior Remodeling
Plan
Type
18 Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
Class of Const:
Size
Unfinished/Basement
0 Sq.Ft.
~ Sq. Ft.
Rooms 0 Height 0 Ft.
Bedrooms 0 Stories
Baths 0
U Projection 1
Finished/Living
Canopies
0
Garage
~ Sq. Ft.
Signs
0
Foundation
8 Poured Concrete 0 Floating Slab
0 Concrete Block 0 Post
0 Pier
0 Treated Wood
0 Other
Occupancy Permit
Required
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
0
# Structures
0
SFR/ Remodeling the existing basement to include a living room, bathroom, office, and utility area. All construction shall comply with local and
state building code requirements.
Use/Nature
of Work
HVAC Contractor
MODERN SHEET METAL INC
Plumbing Contractor
PLUFF PLUMBING
Electric Contractor
MASTER ELECTRICAL SERVICES
Fees: Valuation
$26,500.00
Plan Approval
$0.00 Permit Fee Paid
$145.00 Park Dedication
$0.00
Issued By:
Date 04/13/2005
Final/O.P. 00/00/0000
U Permit Voided 1
Parcelld # 1335360000
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
W9375 MAJESTIC VIEW LN
Agent/Owner
HORTONVILLE
WI 54944 - 0000 Telephone Number
779-0556, 715-281-2~
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.
Wisconsin Division WISCONSIN UNIFORM BUILDING Application No.
-of Safety and Buildings PERMIT APPLICA nON
Wisconsin Stats. 101.63, 101.73 Instructions on back of second ply. The infonnation you provide may be Parcel No.
used by other govermnent agency programs [(Privacy Law, s. 15.04 (l)(m)]
PERMIT REQUESTEJ> 0 Constr. 0 HVAC 0 Electric 0 Plumbing 0 Erosion Control Other:
ÛMIer'sName Mailing Address Tel.. 920-233-2883
Steven and Stacy Grev 1531 Wellin!!ton Dr., Osbkosh, WI 54904
Contractor's Name: DCon DElec DHVAC DPlbg LiclCert# Mailing Address Tel. 920-779-0556
O'Brien Builders, Inc. 1898588 NI862 Autumnwood Ct. FAX# 920-779-0557
Hortonville, WI 54944
Contractor's Name: DCon DElec DHVAC DPlbg Lic/Cert# Mailing Address Tel. 920-982-6467
Master Electrical Services 170024 1913 Mill St. FAX# 920-982-6484
New London, WI 54961
Contractor's Name: DCon DElec DHVAC DPlbg Lic/Cert# Mailing Address Tel. 920-733-4713
Modern Sheet Metal 3560 2180 American Dr. FAX# 920-733-0882
Neenah, WI 54956
Contractor's Name: DCon DElec DHVAC DPlbg LiclCert# Mailing Address Tel. 920-779-4884
Tom Pluff Plumbing 277400 PO Box 264 FAX# 920-779-0323
Dale, WI 54931
J'ROJECT I wt area 11,560 Sq. tl I
LOCATION _114,_1/4, of Section , T N,R E(o;)W
Building Address Subdivision Name Lot No. I Block No.
1531 Wellington Dr., Oshkosh, WI 54904
ZouingDistrict(s) lolling Permit No. Setbacks: I Front Rear I Left I Right
26 ft. existing 63' 10" ft. lot lOft. existing 17ft. existing
line to porch
I.PROJECT !I. OCCUPANcY 6. ELECTRICAL 9,HVAC1U)U1PMENT 12. ENERGY SOURCE iliA
aNew DR<:pair 0 Single Fomily Entrance Panel 0 Fo"'od Air Fumace Fuel I Nat Gas I LP I Oil I Elec 1 Solid I Solar
0 Alteration 0 Raze 0 Two Family Amps: N/A- 0 Radiant Basebd! Panel Space Htg 0 I 0 0 I 0 0 I 0
0 Addition 0 Move 0 Garage 0 Undffground 0 Heat Pump WarerHtg 0 I 0 0 I 0 0 I 0
0 Other: a Other: 0 Overhead 0 Boiler 0 Dwelling unit has 3 kilowatt 0; more in electric space
1. FOUNDATION 0 Central Air Cond. ~caoacitv.
2.AR£AtNVOLVED 4. ruNSToTYPE 0 Concrete 0 Other:
Unfin. a Site-Buih 0 Masonry N/A
&rot SqFt 0 Mfd: 0 WlUDC 0 Treatod Wood I!), SEWER NIA BTUIHR ToW Calculated
Living 0 u.S. HUD 0 Other: N/A 0 Municipal Envelope and Infiltration Losses ("Maximum Allowable
Area _486 SqFt 50 S'J.'ORIE$ s.USE 0 SanitMyPennitNo.: Heating Equipment Output" on Energy W ork.sheet;
0 l-Story 0 Seasonal NIA "Total BuadingHeating wad" on WIScheckreport)
Garage SqFt 0 2-Stnry a Pennanent U,WATER.,N/A 14. EST, BUILDING ruST
a Other: 0 Other: 0 Municipal Utility
Deck SqFt. 0 Plus Basement 0 Private On-Site Well $ 26,500 Including Construction and Trad"
I agree to eomply with all applicable codes, statutes and ordinanees and with the conditions of this permit; underntand that the issuance of the permit creates no legal liability,
express 0; impliod, on the state or municipality: and eertitY that all the above information is accurate. If I om an owner applying for an erosion control or construction pennit,
I have read the cautionary statement regarding contractor fmancial responsibility on the reverse side of the last ply. I expressly grant the building inspecto;, or the inspectors
authorizod agen~ permission to enter the premises for which this permit is sought at all reasonable bours and for any proper purpose to inspect the wo;k whicb is being done.
APPLICANT'S SIGNATURE DATE SIGNED
APPROVAL CONDITIONS This permit is issuod pursuant to the following conditions. Failure to eomply may result in suspension 0; revocation of this
nermit 0; other penalty. D See attached for conditions of anoroval.
~~ 1 0 Town of 0 Village of 0 City of 0 County of 0 State Inspection Agency #: Municipality Number of Dwelling Location
;;
PERMIT(SjJSSUED WlSPERMlT SEAL#: PERMJTJSSUEDBY:
Plan Review D Construction
Inspection D HVAC Name
Wis. Pennit Seal $ D Electrical
Other D Plumbing Date Tel.
D Erosion Control
Total $ CeriNo.
SBD-5823(R04/02)
Distribution: DPly 1 - Issuing Jurisdiction DPly 2 - Municipality Forwards to State If New Dwelling DPly 3 - Inspector DPly 4 - Applicant